Organization
LIZA DETENBER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA DETENBER LICSW (PSYCHOTHERAPIST)
(508) 796-9200
Entity
Organization
Contact information
Practice address
7 E LAKE ST, WORCESTER, MA 01604-1315
(508) 796-9200
Mailing address
7 E LAKE ST, WORCESTER, MA 01604-1315
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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