| Elizabeth Nixon Sole Mbr | |
|
300 W Main St Northborough MA 01532-2132 | |
| (508) 330-4737 | |
| Not Available |
| Full Name | Elizabeth Nixon Sole Mbr |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 300 W Main St, Northborough, Massachusetts |
| Authorized Official Name and Position | Elizabeth Nixon (OWNER) |
| Authorized Official Contact | 5083304737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Nixon Sole Mbr 300 W Main St Northborough MA 01532-2132 Ph: (508) 330-4737 | Elizabeth Nixon Sole Mbr 300 W Main St Northborough MA 01532-2132 Ph: (508) 330-4737 |
| NPI Number | 1639475155 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 01/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639475155 | NPI | - | NPPES |
| NI P06533 | Other | MA | MEDICARE B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1022125 (Massachusetts) | Primary |
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