Individual
MISS ELISSA HENRIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
76 CHURCH ST, WHITINSVILLE, MA 01588-1464
(508) 488-5096
Mailing address
76 CHURCH ST, WHITINSVILLE, MA 01588-1464
(508) 488-5096
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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