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1366022535
JACOB R MATTLEMAN
BOSTON, MA
NPI
1366022535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA LICSW127374)
Enumeration Date
2021-04-12
Last Update Date
2023-12-27
Business Address
JACOB R MATTLEMAN LICSW
300 LONGWOOD AVE
BOSTON, MA 02115-5724
Phone number: 617-355-6000
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Mailing Address
JACOB R MATTLEMAN LICSW
300 LONGWOOD AVE
BOSTON, MA 02115-5724
Phone number: 617-355-6000
Copy
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