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1003571969
TANYA JACQUELINE LUNGELOW
WALPOLE, MA
NPI
1003571969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 123456)
Enumeration Date
2021-11-05
Last Update Date
2021-11-05
Business Address
TANYA JACQUELINE LUNGELOW
869 MAIN ST STE 6B
WALPOLE, MA 02081-2985
Phone number: 781-269-9978
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Mailing Address
TANYA JACQUELINE LUNGELOW
23 LINDSEY ST
BOSTON, MA 02124-1309
Phone number: 617-792-6693
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