Individual
AMY LORRAINE DESROCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 OPTICAL DR, SOUTHBRIDGE, MA 01550-2559
(508) 765-9101
Mailing address
5 OPTICAL DR, SOUTHBRIDGE, MA 01550-2559
(774) 433-5413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
231088
MA
Other
Enumeration date
07/25/2024
Last updated
09/16/2024
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