Individual
LAUREN EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
237 MILLBURY ST, WORCESTER, MA 01610-2177
(508) 755-1228
Mailing address
237 MILLBURY ST, WORCESTER, MA 01610-2177
(508) 755-1228
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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