Individual
ALLISA RADULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW A
Contact information
Practice address
340 MAIN ST STE 819, WORCESTER, MA 01608-1665
(508) 752-3969
Mailing address
24 SIMPSON ST, STURBRIDGE, MA 01566-1289
(774) 696-8116
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
45411
MA
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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