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1003062688
LARRY HIGGINBOTTOM
ROXBURY, MA
NPI
1003062688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 2030131)
Enumeration Date
2008-08-14
Last Update Date
2008-08-14
Business Address
-- LARRY HIGGINBOTTOM MSW / LCSW
184 DUDLEY ST SUITE 107 LL
ROXBURY, MA 02119-2561
Phone number: 617-442-2002
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Mailing Address
-- LARRY HIGGINBOTTOM MSW / LCSW
184 DUDLEY ST SUITE 107 LL
ROXBURY, MA 02119-2561
Phone number: 617-442-2002
Copy
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