Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YP2500X | Professional Counselor | ||
N | 175L00000X | Homeopath |
NPI | 1982032447 |
---|---|
Provider Name | Dr. Traci-Marie Sweet |
First Address | Worcester, MA 01602-1363 |
Second Address | Northborough, MA 01532-2132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2013 |
Last Update Date | 17/03/2018 |