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1407225345
KENDRICK MAURICE ELLISON
BOSTON, MA
NPI
1407225345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA S11267675)
Enumeration Date
2015-09-22
Last Update Date
2015-09-22
Business Address
Mr. KENDRICK MAURICE ELLISON
714 BLUE HILL AVE APT 3
BOSTON, MA 02121-3239
Phone number: 617-637-0434
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Mailing Address
Mr. KENDRICK MAURICE ELLISON
714 BLUE HILL AVE APT 3
BOSTON, MA 02121-3239
Phone number: 617-637-0434
Copy
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