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Organization
EN PSYCHOTHERAPY, LLC
Active
Organization
EN PSYCHOTHERAPY, LLC
Active
Other names
Elizabeth Nixon SOLE MBR
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH NIXON LICSW (OWNER)
(508) 330-4737
Entity
Organization
Contact information
Practice address
300 W MAIN ST, NORTHBOROUGH, MA 01532-2132
(508) 330-4737
Mailing address
300 W MAIN ST, NORTHBOROUGH, MA 01532-2132
(508) 330-4737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1022125
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NI P06533
MEDICARE B
MA
Enumeration date
01/31/2011
Last updated
01/31/2011
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