ELLEN LANE

BEVERLY, MA
NPI1578745253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2007-12-04
Last Update Date2007-12-04
Business Address
-- ELLEN LANE
111 DODGE ST
BEVERLY, MA 01915-1827
Phone number: 978-921-1182
Mailing Address
-- ELLEN LANE
111 DODGE ST
BEVERLY, MA 01915-1827
Phone number:
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