Individual
JESTINA WOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 LINCOLN ST, WORCESTER, MA 01605-2401
(508) 453-3013
(508) 795-0224
Mailing address
107 LINCOLN ST, WORCESTER, MA 01605-2401
(508) 453-3013
(508) 795-0224
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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