JACOB SHADE

LYNN, MA
NPI1295082766
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-08-14
Last Update Date2013-09-12
Business Address
-- JACOB SHADE
181 UNION ST
LYNN, MA 01901-1311
Phone number: 781-244-1950
Mailing Address
-- JACOB SHADE
181 UNION ST
LYNN, MA 01901-1311
Phone number:
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