Individual
ELISSA SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 FRANKLIN ST, FRAMINGHAM, MA 01702-2919
(508) 620-1442
Mailing address
196 CENTRAL ST, HOLLISTON, MA 01746-2001
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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