Basic Information
| Provider Information | |||||||||
| NPI: | 1770223703 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANDERSON | ||||||||
| FirstName: | FRANCY | ||||||||
| MiddleName: | A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 WARWICK ST | ||||||||
| Address2: | |||||||||
| City: | WORCESTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 016102223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083403489 | ||||||||
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| Practice Location | |||||||||
| Address1: | 600 WORCESTER RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | FRAMINGHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017025360 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088751110 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2022 | ||||||||
| LastUpdateDate: | 03/29/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 226930 | MA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.