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1225247265
EDWARD MARK SAMUELSON
BELMONT, MA
NPI
1225247265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 110074)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Mr. EDWARD MARK SAMUELSON LICSW
115 MILL ST
BELMONT, MA 02478-1041
Phone number: 617-855-2245
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Mailing Address
Mr. EDWARD MARK SAMUELSON LICSW
115 MILL ST
BELMONT, MA 02478-1041
Phone number: 617-855-2245
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