Individual
ALICE DA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PICKER RD, STURBRIDGE, MA 01566-1252
(508) 879-9800
Mailing address
1 PICKER RD, STURBRIDGE, MA 01566-1252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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