Ennis, Deborah
Ennis, Deborah is an sole proprietor health care provider with primary practice located at 53 Merriam Ave , Leominster MA 01453-3194. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ennis, Deborah can be contacted via phone (978) 257-8062.Contact Information
Primary practice address
53 Merriam Ave
Leominster MA 01453-3194
Phone: (978) 257-8062
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 114600 | Massachusetts |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13532 | South Carolina |
Profile Details
NPI number | 1366635088 |
---|---|
LBN Legal business name | Ennis, Deborah |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 27th, 2007 |
Last updated | Jun 14th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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