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Individual

BETH MIRIAM HAYNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
548 PARK AVE, WORCESTER, MA 01603-2537
(774) 823-1500
Mailing address
548 PARK AVE, WORCESTER, MA 01603-2537

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/07/2012
Last updated
08/07/2012
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