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Individual

JACQUELYN BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
95 LINCOLN ST, WORCESTER, MA 01605-2441
(508) 453-3053
Mailing address
95 LINCOLN ST, WORCESTER, MA 01605-2441
(508) 453-3053

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20022
MA

Other

Enumeration date
02/24/2021
Last updated
02/24/2021
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