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1366778045
LISA MOORE
BOSTON, MA
NPI
1366778045
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Former Name
LISA WIEDENBAUER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-10-30
Last Update Date
2009-10-30
Business Address
-- LISA MOORE
85 E NEWTON ST BEST
BOSTON, MA 02118-2340
Phone number: 617-414-8336
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Mailing Address
-- LISA MOORE
85 E NEWTON ST BEST
BOSTON, MA 02118
Phone number: 617-414-8336
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