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1174124226
SHANE WILLIAM MACDONALD
MEDFORD, MA
NPI
1174124226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MA 223903)
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
SHANE WILLIAM MACDONALD LCSW
20 STEARNS AVE
MEDFORD, MA 02155-5620
Phone number: 860-964-9398
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Mailing Address
SHANE WILLIAM MACDONALD LCSW
20 STEARNS AVE
MEDFORD, MA 02155-5620
Phone number: 860-964-9398
Copy
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