Individual
MS. ELAINE HOPE BISSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED LCSW
Contact information
Practice address
286 LINCOLN ST, WORCESTER, MA 01605-2106
(508) 753-2967
Mailing address
140 COBURN AVE, WORCESTER, MA 01604-1113
(508) 754-4943
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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