Michael Ellsworth
NPI #1023414778 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1023414778
- Entity Type
- Individual
- Name
- Michael Ellsworth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Nov 7, 2014
- Last Updated
- Nov 7, 2014
Practice Location
- Address
- 484 MAIN ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01608-1893
- Phone
- (508) 890-6519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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