Individual
MARIBEL ORTIZ DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CITY OF CHICOPEE, 80 CHURCH STREET, CHICOPEE, MA 01020-0102
(413) 594-3437
(413) 594-3500
Mailing address
CHICOPEE HIGH SCHOOL, 820 FRONT STREET, CHICOPEE, MA 01020
(413) 594-3437
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
110430
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110025828C
—
MA
Enumeration date
09/06/2018
Last updated
09/06/2018
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