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1407947989
ANNETTE S MALLEN
MEDFORD, MA
NPI
1407947989
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Former Name
ANNETTE S LEMIEUX-ST.GEORGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 207323)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
-- ANNETTE S MALLEN LCSW
151 MYSTIC AVE
MEDFORD, MA 02155-4632
Phone number: 781-396-1199
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Mailing Address
-- ANNETTE S MALLEN LCSW
5 HIGH ST
SOUTH DARTMOUTH, MA 02748-3808
Phone number: 508-942-1103
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