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1336713908
ANTHONY CARMEN PERSIA
LYNN, MA
NPI
1336713908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
ANTHONY CARMEN PERSIA
11 CIRCLE AVE
LYNN, MA 01905-3050
Phone number: 781-595-2413
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Mailing Address
ANTHONY CARMEN PERSIA
11 CIRCLE AVE
LYNN, MA 01905-3050
Phone number: 781-595-2413
Copy
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