Individual
KUNTHAVI JUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
36 PAPER BIRCH PATH, WORCESTER, MA 01605-3373
(774) 420-3093
Mailing address
36 PAPER BIRCH PATH, WORCESTER, MA 01605-3373
(508) 981-2132
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
215460
MA
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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