Individual
CARLY JANE DAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
411 CHANDLER ST, WORCESTER, MA 01602-3339
(508) 799-0688
Mailing address
20 CEDAR RD, UXBRIDGE, MA 01569-1431
(177) 428-0458
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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