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1023144003
JUDSON H. PHELPS
FALMOUTH, MA
NPI
1023144003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 523)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mr. JUDSON H. PHELPS LADC 1
200 TER HEUN DR
FALMOUTH, MA 02540-2525
Phone number: 508-540-6550
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Mailing Address
Mr. JUDSON H. PHELPS LADC 1
53 GINGERBREAD LN
YARMOUTH PORT, MA 02675-1110
Phone number: 508-362-5921
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