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1972879997
DANA H. ELLSMORE
BOSTON, MA
NPI
1972879997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-23
Last Update Date
2012-10-24
Business Address
Mr. DANA H. ELLSMORE
774 ALBANY ST
BOSTON, MA 02118-2520
Phone number: 617-534-4212
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Mailing Address
Mr. DANA H. ELLSMORE
1010 MASSACHUSETTS AVE
BOSTON, MA 02118-2600
Phone number: 617-419-3408
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