MARK TWELVES

BRIGHTON, MA
NPI1437295177
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  1017994)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
Mr. MARK TWELVES LICSW
1853 COMMONWEALTH AVE
BRIGHTON, MA 02135-5498
Phone number: 508-545-0017
Mailing Address
Mr. MARK TWELVES LICSW
50 SILVER HILL LN APT 12
NATICK, MA 01760-3742
Phone number: 508-545-0017
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