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1326394750
FAY LUCILLE CHAMPOUX
BROOKLINE, MA
NPI
1326394750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 111365)
Enumeration Date
2012-08-03
Last Update Date
2012-08-20
Business Address
Ms. FAY LUCILLE CHAMPOUX L.I.C.S.W
1415 BEACON ST., BOSTON INSTITUTE FOR PSYCHOTHERAPY SUITE 120
BROOKLINE, MA 02446
Phone number: 617-566-2200
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Mailing Address
Ms. FAY LUCILLE CHAMPOUX L.I.C.S.W
21 TREEHOUSE CIR APARTMENT 3
EASTHAMPTON, MA 01027-2175
Phone number: 413-459-1479
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