Individual
LUZ DIDIER WITT-MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
172 LINCOLN ST, WORCESTER, MA 01605-3750
(508) 770-0511
(508) 770-0875
Mailing address
172 LINCOLN ST, WORCESTER, MA 01605-3750
(508) 770-0511
(508) 770-0875
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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