ELAINE BONITA HOLSTON SOUTHWORTH

SPRINGFIELD, MA
NPI1619443298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-10-22
Last Update Date2018-10-22
Business Address
Mrs. ELAINE BONITA HOLSTON SOUTHWORTH
1695 MAIN ST FL 400
SPRINGFIELD, MA 01103-1063
Phone number: 413-348-4101
Mailing Address
Mrs. ELAINE BONITA HOLSTON SOUTHWORTH
1695 MAIN ST FL 400
SPRINGFIELD, MA 01103-1063
Phone number: 413-348-4101
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