Individual
MRS. ANN ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
55 LAKE AVE NORTH, WORCESTER, MA 01655
(774) 303-6888
Mailing address
896 HAMPTON RD, POMFRET, CT 06259-2017
(617) 794-6280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1026315
MA
Other
Enumeration date
01/25/2018
Last updated
11/20/2024
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