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Individual

PRINCE OTI- AKENTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
29 N MAIN ST, MILLBURY, MA 01527
(508) 506-8940
Mailing address
31 S STOWELL ST APT 1R, WORCESTER, MA 01604-5314

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/01/2024
Last updated
05/01/2024
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