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Individual

ELLEN BURDITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
155A OAK STREET, WESTBOROUGH, MA 01581
(800) 464-9555
Mailing address
10 MECHANIC ST, SUITE 302, WORCESTER, MA 01608-2420
(508) 792-5400

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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