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Organization

EATING DISORDER CENTER OF ANDOVER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARIN LEWIS LMFT (CLINICAL DIRECTOR)
(978) 475-1617
Entity
Organization

Contact information

Practice address
68 MAIN ST, 5, ANDOVER, MA 01810-3846
(978) 475-1617
(978) 824-9600
Mailing address
68 MAIN ST, 5, ANDOVER, MA 01810-3846

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1383
MA

Other

Enumeration date
10/07/2011
Last updated
10/07/2011
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