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1023414778
MICHAEL ELLSWORTH
WORCESTER, MA
NPI
1023414778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-11-07
Last Update Date
2014-11-07
Business Address
-- MICHAEL ELLSWORTH
484 MAIN ST
WORCESTER, MA 01608-1893
Phone number: 508-890-6519
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Mailing Address
-- MICHAEL ELLSWORTH
484 MAIN ST
WORCESTER, MA 01608-1893
Phone number: 508-890-6519
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