Individual
CARMEN MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SYCAMORE ST, WORCESTER, MA 01608-2213
(508) 798-1900
(508) 798-1914
Mailing address
11 SYCAMORE ST, WORCESTER, MA 01608-2213
(508) 798-1900
(508) 798-1914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042714991
TAX ID
MA
Enumeration date
08/01/2016
Last updated
08/01/2016
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