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Individual

ANNIE ELIZABETH BOURNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
97 COLUMBUS AVE, A, SALEM, MA 01970-5756
(530) 774-4868
Mailing address
97 COLUMBUS AVE, A, SALEM, MA 01970
(530) 774-4868

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/09/2006
Last updated
08/30/2010
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