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1346387750
BOUNTHAY PHATH
REVERE, MA
NPI
1346387750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
-- BOUNTHAY PHATH
265 BEACH ST
REVERE, MA 02151-3131
Phone number: 617-912-7733
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Mailing Address
-- BOUNTHAY PHATH
24 CORA ST
WINTHROP, MA 02152-3032
Phone number: 617-912-7733
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