Individual
MISS EDEN HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
44 FRONT ST STE 490, WORCESTER, MA 01608-1742
(508) 799-2934
(508) 770-1732
Mailing address
44 FRONT ST STE 490, WORCESTER, MA 01608-1742
(508) 799-2934
(508) 770-1732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
215717
MA
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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