Individual
GENESIS M OLMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
548 PARK AVE STE B, WORCESTER, MA 01603-2537
(774) 823-1500
Mailing address
10 NEBRASKA ST UNIT 5, WORCESTER, MA 01604-3672
(978) 333-4201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/18/2024
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