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Individual

ANNA MORRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
120 MAPLE ST, SUITE 219, SPRINGFIELD, MA 01103-2203
(413) 737-3730
Mailing address
10 SUMNER AVE, APT 27, SPRINGFIELD, MA 01108-2365

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1300881
MA
Enumeration date
04/07/2007
Last updated
07/08/2007
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