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1245570852
SSALI S BABUMBA
JAMAICA PLAIN, MA
NPI
1245570852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA LN87592)
Enumeration Date
2013-02-19
Last Update Date
2013-02-19
Business Address
-- SSALI S BABUMBA
170 MORTON ST
JAMAICA PLAIN, MA 02130-3735
Phone number: 617-541-3670
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Mailing Address
-- SSALI S BABUMBA
170 MORTON ST
JAMAICA PLAIN, MA 02130-3735
Phone number: 617-541-3670
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