Individual
JO ELLA TARBUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 MAIN ST, SOUTHBRIDGE, MA 01550-2561
(508) 765-5940
(508) 765-5480
Mailing address
10 MECHANIC ST STE 302, WORCESTER, MA 01608-2419
(508) 792-5400
(508) 831-0074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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