Individual
ELYSE CLAIRE DESTICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 ASYLUM ST, MILFORD, MA 01757-2203
(508) 469-3184
Mailing address
88 LENOX ST, QUINCY, MA 02169-3434
(805) 602-2918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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