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1386077915
LISA RENEE DUNHAM
BOSTON, MA
NPI
1386077915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-08-19
Last Update Date
2013-08-19
Business Address
Ms. LISA RENEE DUNHAM CADC
784 MASSACHUSETTS AVE
BOSTON, MA 02118
Phone number: 617-247-1001
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Mailing Address
Ms. LISA RENEE DUNHAM CADC
784 MASS AVE
BOSTON, MA 02118
Phone number: 617-247-1001
Copy
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