Individual
JILLIANE ELISE SOTELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
55 LAKE AVE N # A3104, WORCESTER, MA 01655-0002
(774) 443-7646
(774) 442-3525
Mailing address
55 LAKE AVE N # A3104, WORCESTER, MA 01655-0002
(774) 443-7646
(774) 442-3525
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC145
MA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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