Individual
STEPHANIE MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 SHAWMUT ST, WORCESTER, MA 01609-3423
(774) 535-6448
Mailing address
7 SHAWMUT ST, WORCESTER, MA 01609-3423
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/13/2018
Last updated
09/24/2020
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