Individual
NICHOLAS JAMES COLLURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 MAIN ST STE 383, WORCESTER, MA 01608-1694
(508) 791-4976
Mailing address
340 MAIN ST STE 383, WORCESTER, MA 01608-1694
(508) 791-4976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
220544
MA
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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