Individual
MRS. BETHANY LAURA CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
81 PLANTATION ST, WORCESTER, MA 01604-3069
(508) 890-6519
(508) 363-0562
Mailing address
39 ONEIL ST, HUDSON, MA 01749-1618
(508) 612-3470
(508) 363-0562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114558
MA
Other
Enumeration date
01/02/2007
Last updated
08/28/2014
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