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1376368894
YACOV AVIV
LEWISTON, ME
NPI
1376368894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC23042)
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
YACOV AVIV LMSW-cc
15 STRAWBERRY AVE
LEWISTON, ME 04240-5941
Phone number: 617-956-2778
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Mailing Address
YACOV AVIV LMSW-cc
9 AVALON ST
LEWISTON, ME 04240-4405
Phone number: 617-956-2778
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