Individual
JILLIAN MARY SCAFICCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(502) 753-5208
Mailing address
484 MAIN ST, WORCESTER, MA 01608-1893
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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