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1366011819
ELISHA DEJESUS
LONGMEADOW, MA
NPI
1366011819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 226045)
Enumeration Date
2021-06-20
Last Update Date
2021-06-20
Business Address
ELISHA DEJESUS LCSW
175 DWIGHT RD STE 105-109
LONGMEADOW, MA 01106-1576
Phone number: 860-461-7792
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Mailing Address
ELISHA DEJESUS LCSW
175 DWIGHT RD STE 105-109
LONGMEADOW, MA 01106-1576
Phone number: 860-461-7792
Copy
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