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1114065794
MAXINE SUSHELSKY
WALTHAM, MA
NPI
1114065794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MA 6658)
Enumeration Date
2007-02-03
Last Update Date
2008-10-08
Business Address
MS. MAXINE SUSHELSKY LMHC
169 ELM ST
WALTHAM, MA 02453-5356
Phone number: 781-894-8440
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Mailing Address
MS. MAXINE SUSHELSKY LMHC
PO BOX 1182
WATERTOWN, MA 02471-1182
Phone number: 617-923-2882
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