Individual
ISAAC TUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 N MAIN ST,, MILLBURY, MA 01527
(631) 631-3166
Mailing address
4 POPLAR ST, SOUTHBRIDGE, MA 01550-2220
(631) 316-6447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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