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1427144633
JACK ALAN MINE
QUINCY, MA
NPI
1427144633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 105387)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Mr. JACK ALAN MINE M.S.W.
460 QUINCY AVE COMMUNITY OUTPATIENT SERVICES/SSMH
QUINCY, MA 02169-8130
Phone number: 617-774-6090
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Mailing Address
Mr. JACK ALAN MINE M.S.W.
460 QUINCY AVE COMMUNITY OUTPATIENT SERVICES/SSMH
QUINCY, MA 02169-8130
Phone number: 617-774-6090
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