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1255614764
LISA HEISTERKAMP DAVIS
IPSWICH, MA
NPI
1255614764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-21
Last Update Date
2011-09-21
Business Address
-- LISA HEISTERKAMP DAVIS
25R MARKET ST
IPSWICH, MA 01938-2212
Phone number: 978-356-1776
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Mailing Address
-- LISA HEISTERKAMP DAVIS
25R MARKET ST
IPSWICH, MA 01938-2212
Phone number: 978-356-1776
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