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Individual

MISS ERIN L DEPATSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
585 LINCOLN ST, WORCESTER, MA 01605-1906
(508) 854-3320
(508) 753-5051
Mailing address
585 LINCOLN ST, WORCESTER, MA 01605-1906
(508) 854-3320
(508) 753-5051

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306421
MA
05
1308785
MA
Enumeration date
02/12/2007
Last updated
07/09/2007
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