TRACY ANN DESRUISSEAUX

WORCESTER, MA
NPI1841524923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2009-09-23
Last Update Date2009-09-23
Business Address
Miss TRACY ANN DESRUISSEAUX LADC
585 LINCOLN ST
WORCESTER, MA 01605-1906
Phone number: 508-831-0045
Mailing Address
Miss TRACY ANN DESRUISSEAUX LADC
585 LINCOLN ST
WORCESTER, MA 01605-1906
Phone number: 508-831-0045