Individual
ALYSSA MARIE JONIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
332 MAIN ST, WORCESTER, MA 01608-1517
(508) 752-3969
(508) 752-3967
Mailing address
14 MENDON ST, WORCESTER, MA 01604-4804
(508) 847-0480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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