Individual
JESSICA MACKOWIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 GROVE ST STE LL11, WORCESTER, MA 01605-2677
(774) 633-5262
Mailing address
108 GROVE ST STE LL11, WORCESTER, MA 01605-2677
(774) 633-5262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCSW229962
MA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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