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1346270196
JOHN GORDON MALIS
NEWBURYPORT, MA
NPI
1346270196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1019395)
Enumeration Date
2006-07-04
Last Update Date
2008-07-02
Business Address
-- JOHN GORDON MALIS MSW, LICSW
184 STATE ST
NEWBURYPORT, MA 01950-6637
Phone number: 978-463-6929
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Mailing Address
-- JOHN GORDON MALIS MSW, LICSW
169 WATER ST
NEWBURYPORT, MA 01950-3040
Phone number: 978-463-6929
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