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1306192802
CHIE KOTAKE
LOWELL, MA
NPI
1306192802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2012-08-02
Last Update Date
2012-08-02
Business Address
-- CHIE KOTAKE M.A.
148 WARREN ST
LOWELL, MA 01852-2208
Phone number: 781-572-8253
Copy
Mailing Address
-- CHIE KOTAKE M.A.
8 CROWNINSHIELD ST UNIT 111
PEABODY, MA 01960-8201
Phone number: 781-572-8253
Copy
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