Michaela Kozaczka's National Provider Identifier (NPI) Details
Michaela Kozaczka, LICSW
NPI: 1356770523
Enumeration Date: 2013-11-07
Last updated: 2014-11-07
Sole Proprietor: NO
Status: active
Postal Address: 484 MAIN ST, WORCESTER, MA
Phone: 508-890-6519
Primary Practice Address: 40 FALL DR, NORTHBOROUGH, MA
Practice's phone: 603-312-9971