Provider Demographics
NPI:1255633293
Name:WOJNAROWICZ, GINA S
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:S
Last Name:WOJNAROWICZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 PARKER AVE
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-2458
Mailing Address - Country:US
Mailing Address - Phone:508-755-6843
Mailing Address - Fax:508-799-8947
Practice Address - Street 1:60 HARVARD ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-2743
Practice Address - Country:US
Practice Address - Phone:508-755-6843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor