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1124141205
IAN EDWARDS
WALTHAM, MA
NPI
1124141205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1021991)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
Mr. IAN EDWARDS LICSW
118 CENTRAL ST
WALTHAM, MA 02453-5465
Phone number: 781-891-0556
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Mailing Address
Mr. IAN EDWARDS LICSW
446 PLEASANT ST
BELMONT, MA 02478-3243
Phone number: 617-489-4181
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