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Serena Marie Blasco

Developmental Therapist in Worcester, MA. Individual provider (NPI-1).

NPI number1982162053
StatusActive
Last updated in NPPESMar 7, 2019

Details

NPI
1982162053
Entity type
Individual (NPI-1)
Name
Serena Marie Blasco
Sex
Female
Sole proprietor
No
Enumeration date
Mar 7, 2019
Last updated
Mar 7, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

345 Greenwood St Ste A
Worcester, MA 01607-1767

Phone 508-363-0200 · Fax 508-363-1213

Mailing address

345 Greenwood St Ste A
Worcester, MA 01607-1767

Phone 508-363-0200

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