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1023174141
DOMINIQUE STASSART
CAMBRIDGE, MA
NPI
1023174141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 110629)
Enumeration Date
2007-01-01
Last Update Date
2007-07-09
Business Address
Ms. DOMINIQUE STASSART MSW,LICSW
22 LEONARD AVE #2
CAMBRIDGE, MA 02139-1020
Phone number: 617-784-8163
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Mailing Address
Ms. DOMINIQUE STASSART MSW,LICSW
22 LEONARD AVE #2
CAMBRIDGE, MA 02139-1020
Phone number: 617-784-8163
Copy
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