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Individual

ELEANOR GRACE BACKSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
48 ELM ST, WORCESTER, MA 01609-2541
(800) 337-5965
Mailing address
32 LOCUST ST APT 4, DANVERS, MA 01923-2274

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
MA

Other

Enumeration date
07/23/2026
Last updated
07/23/2026
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