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1134287691
MAXINE MADANS KLENICKI
BOSTON, MA
NPI
1134287691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 111631)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- MAXINE MADANS KLENICKI MSW
1153 CENTRE ST DEPT OF SOCIAL WORK
BOSTON, MA 02130-3446
Phone number: 617-983-7479
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Mailing Address
-- MAXINE MADANS KLENICKI MSW
15 KIPPY DR
WABAN, MA 02468-1719
Phone number: 617-851-0042
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