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1285141523
LISA RENE' PHELPS
JAMAICA PLAIN, MA
NPI
1285141523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 119536)
Enumeration Date
2018-01-09
Last Update Date
2018-01-09
Business Address
LISA RENE' PHELPS
1153 CENTRE ST STE 5J
JAMAICA PLAIN, MA 02130-3446
Phone number: 617-983-7383
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Mailing Address
LISA RENE' PHELPS
1303 STATION CIR
DEDHAM, MA 02026-4585
Phone number: 339-225-1648
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