Individual
MS. ELAINE VIRGINIA DEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3 KIRTLAND STREET, BEDFORD, MA 01731-2139
(781) 377-2418
(781) 377-4385
Mailing address
7 HART RD, CHELMSFORD, MA 01824-4344
(978) 256-4771
(781) 377-4385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
MA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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