Individual
BEATRIZ AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
172 LINCOLN ST, WORCESTER, MA 01605-3750
(508) 770-0511
Mailing address
21 OUTLOOK DR # 32, WORCESTER, MA 01602-3056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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