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1295014819
GREGORY MARK KAUFMAN
SOMERVILLE, MA
NPI
1295014819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 116040)
Enumeration Date
2011-08-13
Last Update Date
2011-08-15
Business Address
-- GREGORY MARK KAUFMAN LICSW
78 COLLEGE AVE
SOMERVILLE, MA 02144-1916
Phone number: 617-623-3278
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Mailing Address
-- GREGORY MARK KAUFMAN LICSW
78 COLLEGE AVE
SOMERVILLE, MA 02144-1916
Phone number: 617-623-3278
Copy
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