Most Relevant Information
Provider Data
| NPI Number: | 1003411828 |
| Provider Name: | ARIELLA EMMANUEL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/01/2020 |
| Last Updated: | 08/08/2022 |
Provider Practice Location
411 CHANDLER ST
WORCESTER
MA
016023339
Practice Location Phone/Fax
| Phone: | 6176787267 |
| Fax: |
Provider Mailing Location
411 CHANDLER ST
WORCESTER
MA
016023339
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |