Individual
DR. MIA M RICARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
361 PLANTATION ST, WORCESTER, MA 01605-2323
(774) 420-3136
Mailing address
30 S. WASHINGTON ST., PO BOX 743, NORTH ATTLEBORO, MA 02761-0743
(774) 314-1231
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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