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1245312727
ELAINE VIRGINIA DEA
BEDFORD, MA
NPI
1245312727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MA 101YA0400X)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
MS. ELAINE VIRGINIA DEA MSW
3 KIRTLAND STREET
BEDFORD, MA 01731-2139
Phone number: 781-377-2418
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Mailing Address
MS. ELAINE VIRGINIA DEA MSW
7 HART RD
CHELMSFORD, MA 01824-4344
Phone number: 978-256-4771
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