Donna Marie Lacerte-Blais, LICSW
Social Worker, Clinical in Worcester, MA. Individual provider (NPI-1).
NPI number1982104287
StatusActive
Last updated in NPPESNov 15, 2021
Details
- NPI
- 1982104287
- Entity type
- Individual (NPI-1)
- Name
- Donna Marie Lacerte-Blais
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2018
- Certification date
- Nov 15, 2021
- Last updated
- Nov 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 113360 | MA | Yes |
Practice location
55 Lake Ave NWorcester, MA 01655-0002
Phone 508-334-2731
Mailing address
Po Box 415348Boston, MA 02241-5348
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