Individual
SYDNI M PARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 MAIN ST, WORCESTER, MA 01603-1861
(508) 754-1141
(508) 754-1115
Mailing address
1280 MAIN ST, WORCESTER, MA 01603-1861
(508) 754-1141
(508) 754-1115
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101556931
DRIVER'S LICENSE NUMBER
SC
Enumeration date
08/10/2022
Last updated
08/10/2022
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