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1205262573
CHARLES L ISRAEL
ROXBURY, MA
NPI
1205262573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-09-18
Last Update Date
2013-09-18
Business Address
-- CHARLES L ISRAEL
504 DUDLEY ST
ROXBURY, MA 02119-2732
Phone number: 617-989-9499
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Mailing Address
-- CHARLES L ISRAEL
37 CEDAR ST
MATTAPAN, MA 02126-2924
Phone number: 617-839-1050
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