Individual
CHRISTINE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 CHANDLER ST, WORCESTER, MA 01602-3339
(917) 763-7526
Mailing address
4212 MATRIX WAY, HUDSON, MA 01749-2957
(917) 763-7526
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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