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Organization

CLEGHORN PROFESSIONAL COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS ANTHONY BRADLEY (CLINICAL DIRECTOR)
(978) 342-2709
Entity
Organization

Contact information

Practice address
63 FAIRMOUNT ST, FITCHBURG, MA 01420-7613
(978) 342-2709
Mailing address
63 FAIRMOUNT ST, FITCHBURG, MA 01420-7613
(978) 342-2709

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
7433
MA

Other

Enumeration date
07/08/2011
Last updated
07/08/2011
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