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1124338124
ALA V KOZLENKO SHIELDS
JAMAICA PLAIN, MA
NPI
1124338124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-10-12
Last Update Date
2010-10-12
Business Address
Ms. ALA V KOZLENKO SHIELDS M. Ed.
170 MORTON ST C/O HOPEFOUND MSTAB
JAMAICA PLAIN, MA 02130-3735
Phone number: 617-983-0351
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Mailing Address
Ms. ALA V KOZLENKO SHIELDS M. Ed.
170 MORTON ST C/O HOPEFOUND MSTAB
JAMAICA PLAIN, MA 02130-3735
Phone number: 617-983-0351
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