Individual
MRS. AMY LEE TSAKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
95 LINCOLN ST, WORCESTER, MA 01605-2431
(508) 453-3296
Mailing address
95 LINCOLN ST, WORCESTER, MA 01605-2431
(508) 453-3296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31018064D
FIREARMS IDENTIFICATION
MA
Enumeration date
09/06/2012
Last updated
01/23/2015
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