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1194847251
JOUMATHE THEODORE
SOMERVILLE, MA
NPI
1194847251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
-- JOUMATHE THEODORE
260 BEACON ST
SOMERVILLE, MA 02143-3534
Phone number: 617-661-5700
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Mailing Address
-- JOUMATHE THEODORE
260 BEACON ST
SOMERVILLE, MA 02143-3534
Phone number: 617-661-5700
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