Individual
MR. DAVIDSON WILFREDO BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
255 PARK AVE STE 500, WORCESTER, MA 01609-1958
(508) 753-2900
Mailing address
255 PARK AVE STE 500, WORCESTER, MA 01609-1958
(508) 753-2900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
2722
PR
Other
Enumeration date
10/07/2010
Last updated
07/21/2022
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