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1114064656
PHALNARITH BA
REVERE, MA
NPI
1114064656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171R00000X Interpreter
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
-- PHALNARITH BA Out reach worker
265 BEACH ST
REVERE, MA 02151-3131
Phone number: 617-912-7732
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Mailing Address
-- PHALNARITH BA Out reach worker
265 BEACH ST
REVERE, MA 02151-3131
Phone number: 617-912-7732
Copy
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