Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shizuyo Ichikawa-Ha

Individual provider Case Manager/Care Coordinator · NPI 1073970869

Shizuyo Ichikawa-Ha is a Case Manager/Care Coordinator in Millbury, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

24 Forest Dr
Millbury, MA 01527-3014
Phone: (774) 552-8505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13191 (MA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1073970869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 25, 2016
Last updated in NPPESDecember 4, 2022
Certification dateDecember 4, 2022

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