Individual
MS. AMY JOAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 PLANTATION ST, WORCESTER, MA 01604-3069
(603) 547-5729
Mailing address
368 PARK ST, GARDNER, MA 01440-1643
(978) 632-0718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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