Individual
KIRSTIE MARIE CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
93 EPWORTH ST, WORCESTER, MA 01610-3009
(774) 262-7879
Mailing address
93 EPWORTH ST, WORCESTER, MA 01610-3009
(774) 262-7879
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
04/11/2024
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