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1245822113
TAHIRA LODGE
JAMAICA PLAIN, MA
NPI
1245822113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 7139)
Enumeration Date
2021-02-11
Last Update Date
2021-02-11
Business Address
Dr. TAHIRA LODGE PhD
49 ROBINWOOD AVE
JAMAICA PLAIN, MA 02130-2156
Phone number: 617-390-1220
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Mailing Address
Dr. TAHIRA LODGE PhD
76 WILLOWWOOD ST
DORCHESTER, MA 02124-4030
Phone number: 617-510-5957
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