Elias Simon Champi Tello, MSW INTERN

NPI #1992223234 in Worcester, Massachusetts

Provider Information

NPI Number: 1992223234
Entity Type: Individual
Name: Elias Simon Champi Tello, MSW INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW INTERN
Enumeration Date: Sep 7, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 81 PLANTATION ST
City: Worcester
State: Massachusetts
ZIP Code: 01604-3069
Phone: (508) 849-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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