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General NPI Number Information
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NPI Number | 1932024601
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Entity Type | Organization
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Legal Business Name | CONNECTION GUARDIANSHIP OF MA, INC
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 43 SYCAMORE ST.
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City | MILLBURY
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State | MA
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Zip | 01527
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Country | US
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Telephone | 508-864-3554
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Fax | 774-389-3696
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Provider Business Mailing Address
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Address Line | 119 BOSTON TPKE UNIT 229
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City | SHREWSBURY
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State | MA
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Zip | 01545-3602
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Country | US
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Telephone | 508-864-3554
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Fax | 774-389-3696
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LISA JUDKINS
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Credential | LMHC
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Telephone | 508-864-3554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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