Individual
DIVYA RAMASWAMY PERINKULAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
411 CHANDLER ST, WORCESTER, MA 01602-3339
(978) 493-6269
Mailing address
411 CHANDLER ST, WORCESTER, MA 01602-3339
(978) 493-6269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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