Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003344581 |
---|---|
Provider Name | Joy Chen |
First Address | Worcester, MA 01608-1817 |
Second Address | Worcester, MA 01608-1817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2017 |
Last Update Date | 30/05/2017 |