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1396925848
BETHANY ANNE ELLIS
LEOMINSTER, MA
NPI
1396925848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: MA 392110)
Enumeration Date
2007-11-13
Last Update Date
2007-11-13
Business Address
-- BETHANY ANNE ELLIS B.S
100 ERDMAN WAY
LEOMINSTER, MA 01453-1804
Phone number: 978-840-9354
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Mailing Address
-- BETHANY ANNE ELLIS B.S
44 CAMBRIDGE ST APT #4
AYER, MA 01432-1361
Phone number: 978-772-1274
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