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Individual

ELLEN M BROADHURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
26 CENTRAL ST, WEST SPRINGFIELD, MA 01089-2797
(413) 263-3290
(413) 263-3278
Mailing address
26 CENTRAL ST, WEST SPRINGFIELD, MA 01089-2797
(413) 263-3290
(413) 263-3278

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
335678
MA

Other

Enumeration date
09/04/2018
Last updated
12/16/2020
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