Individual
TRACIE CAROL MASTORAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2630
(413) 231-8315
Mailing address
508 AMHERST RD, SOUTH HADLEY, MA 01075-1213
(413) 532-4601
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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