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1093868994
JAMES THADDEUS HANNON
CONCORD, MA
NPI
1093868994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA LADC-I 597)
Enumeration Date
2007-01-22
Last Update Date
2009-03-20
Business Address
Dr. JAMES THADDEUS HANNON
33 BEDFORD ST
CONCORD, MA 01742-1874
Phone number: 978-505-9038
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Mailing Address
Dr. JAMES THADDEUS HANNON
33 BEDFORD ST
CONCORD, MA 01742-1874
Phone number: 978-505-9038
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