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1104058569
ALEXANDER BAILEY LANE
BROCKTON, MA
NPI
1104058569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2009-08-19
Last Update Date
2010-04-01
Business Address
Mr. ALEXANDER BAILEY LANE MSW
940 BELMONT ST
BROCKTON, MA 02301-5596
Phone number: 774-826-2769
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Mailing Address
Mr. ALEXANDER BAILEY LANE MSW
PO BOX 3830
PAWTUCKET, RI 02861-0735
Phone number: 774-826-2769
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