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NPI Code Detail

MEDICARE: LETICIA ADRIANA FLORES

MEDICARE: LETICIA ADRIANA FLORES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLICSW1121393MA
2101YM0800XMental Health CounselorS97328912MA

General Provider Information

NPI Number : 1003354440
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETICIA ADRIANA FLORES
Provider Business Mailing Address
First Line : 12 BENJAMIN RD
Second Line :
City : WORCESTER
State : MA
Zip : 01602-4155
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1369 GRAFTON ST
Second Line :
City : WORCESTER
State : MA
Zip : 01604-2737
Country : US
Telephone Number : 857-341-4633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2017
Last Update Date : 07/21/2025

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Directions to “ LETICIA ADRIANA FLORES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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