Most Relevant Information
Provider Data
NPI Number: | 1003346065 |
Provider Name: | LUCIANA GABRIEL DIRIENZO |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 06/13/2017 |
Last Updated: | 07/21/2022 |
Provider Practice Location
130 MAPLE ST
SPRINGFIELD
MA
011032202
Practice Location Phone/Fax
Phone: | 4137374455 |
Fax: |
Provider Mailing Location
130 MAPLE ST
SPRINGFIELD
MA
011032202
Provider Mailing Phone/Fax
Phone: | 4137374455 |
Fax: |