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Organization
UNBOUNDED, LLC
Active
Organization
UNBOUNDED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LEE SHAW LICSW, LADC1 (OWNER)
(978) 206-1682
Entity
Organization
Contact information
Practice address
100 GROVE ST STE 307, WORCESTER, MA 01605-2654
(978) 793-3548
Mailing address
100 GROVE ST STE 307, WORCESTER, MA 01605-2654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
07/31/2023
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