Individual
AMELIA GRACE BEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 HOPE AVE, WORCESTER, MA 01603-2212
(508) 755-2340
Mailing address
7 LANES END, FRAMINGHAM, MA 01702-6160
(508) 558-5274
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN980829267
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/30/2022
Last updated
08/30/2022
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