Individual
KOURTNEY ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MYRON ST STE A, WEST SPRINGFIELD, MA 01089-1485
(413) 592-1980
Mailing address
103 MYRON ST STE A, WEST SPRINGFIELD, MA 01089-1485
(413) 592-1980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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