Individual
FRANCINE M LICATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 QUARRY HILL ROAD, LEE, MA 01238
(413) 243-0536
(413) 243-8040
Mailing address
P.O. BOX 30, GREAT BARRINGTON, MA 01230
(413) 528-9311
(413) 644-0274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
114559
MA
101Y00000X
Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110109519A
—
MA
Enumeration date
02/16/2012
Last updated
02/20/2019
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