Individual
MISS VIVIAN DAPHNE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC, LMHC
Contact information
Practice address
81 PLANTATION ST, WORCESTER, MA 01604-3069
(508) 849-5600
Mailing address
81 PLANTATION STREET, WORCESTER, MA 01604
(508) 849-5600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/09/2010
Last updated
10/31/2012
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