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Individual

MS. ALYSSA JAYNE WYMAN PACIFIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
23 VENUS DR, WORCESTER, MA 01605-1013
(781) 264-1441
Mailing address
23 VENUS DR, WORCESTER, MA 01605-1013
(781) 264-1441

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
S20883105
MA
1041C0700X
Clinical Social Worker
Primary
116094
MA

Other

Enumeration date
09/15/2008
Last updated
06/05/2024
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