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1306387444
DANIEL GINIVAN
LYNN, MA
NPI
1306387444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-03-08
Last Update Date
2017-03-08
Business Address
-- DANIEL GINIVAN
382 WALNUT ST
LYNN, MA 01905-1180
Phone number: 781-910-3140
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Mailing Address
-- DANIEL GINIVAN
382 WALNUT ST
LYNN, MA 01905-1180
Phone number: 781-910-3140
Copy
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