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1275829558
SUSAN ELLEN DOUGLASS
WORCESTER, MA
NPI
1275829558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 116372)
Enumeration Date
2011-06-24
Last Update Date
2011-06-24
Business Address
-- SUSAN ELLEN DOUGLASS LICSW
72 JAQUES AVE
WORCESTER, MA 01610-2476
Phone number: 508-860-1154
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Mailing Address
-- SUSAN ELLEN DOUGLASS LICSW
45 SUMMER ST
LEOMINSTER, MA 01453-3228
Phone number: 508-421-4544
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