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1154618437
IRVIN EDWARD COLLYMORE
ALLSTON, MA
NPI
1154618437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-07-07
Last Update Date
2011-07-07
Business Address
-- IRVIN EDWARD COLLYMORE
14 FORDHAM RD
ALLSTON, MA 02134-3006
Phone number: 617-782-6460
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Mailing Address
-- IRVIN EDWARD COLLYMORE
14 FORDHAM RD
ALLSTON, MA 02134-3006
Phone number: 617-782-6460
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