Individual
MARY DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
605 LINCOLN ST, WORCESTER, MA 01605-1901
(401) 273-7100
Mailing address
13 CUTLER RD, PAXTON, MA 01612-1423
(413) 584-4040
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN231398
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN231398
MA
Other
Enumeration date
09/28/2012
Last updated
10/03/2023
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