Individual
MISS KIARA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 733-6661
Mailing address
11 SEVER ST APT 308, WORCESTER, MA 01609-2130
(508) 579-3927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
227170
MA
Other
Enumeration date
06/19/2020
Last updated
05/25/2022
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