Individual
GRETA PUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 BALDWIN ST, WEST SPRINGFIELD, MA 01089-3772
(413) 736-8267
Mailing address
494 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-2514
(603) 369-1081
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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