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1154942233
RAIZA ALYSSA FELICITAS
BOSTON, MA
NPI
1154942233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 122450)
Enumeration Date
2020-04-30
Last Update Date
2020-04-30
Business Address
RAIZA ALYSSA FELICITAS LICSW
250 RUTHERFORD AVE
BOSTON, MA 02129-2925
Phone number: 617-236-1995
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Mailing Address
RAIZA ALYSSA FELICITAS LICSW
507 SHIRLEY ST APT 5
WINTHROP, MA 02152-1324
Phone number: 920-915-6114
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