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Change your name, address, or request a duplicate dietitians and nutritionists license

Follow the directions below for a name change, address change, or to request a duplicate license.

Division of Professional Licensure

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How to change Change your name, address, or request a duplicate dietitians and nutritionists license

Fill out the form and send it to 1000 Washington Street, Suite 710, Boston, MA 02118

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Contact for Change your name, address, or request a duplicate dietitians and nutritionists license

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1000 Washington Street, Suite 710, Boston, MA 02118
Springfield
436 Dwight Street , Springfield , MA 01103
Fax
Fax (617)727-1944
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