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Individual
ELIZABETH ANN BAIN
Active
Individual
ELIZABETH ANN BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
04261105
TAX ID
MA
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
06/18/2021
Last updated
06/18/2021
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