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1417240706
ALLEN MARK SPIVACK
ROXBURY, MA
NPI
1417240706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1029802)
Enumeration Date
2011-05-19
Last Update Date
2011-05-19
Business Address
Mr. ALLEN MARK SPIVACK LICSW
55 DIMOCK ST ROOM 309
ROXBURY, MA 02119-1029
Phone number: 617-442-8800
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Mailing Address
Mr. ALLEN MARK SPIVACK LICSW
55 DIMOCK ST ROOM 309
ROXBURY, MA 02119-1029
Phone number: 617-442-8800
Copy
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