Individual
CRYSTEL ROSA FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
286 LINCOLN ST, WORCESTER, MA 01605-2106
(508) 753-2967
Mailing address
286 LINCOLN ST, WORCESTER, MA 01605-2106
(508) 753-2967
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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