LACI LUCILLE GENTRY

JAMAICA PLAIN, MA
NPI1457540866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MA  214386)
Enumeration Date2007-10-22
Last Update Date2007-10-22
Business Address
MRS. LACI LUCILLE GENTRY LCSW
555 AMORY ST
JAMAICA PLAIN, MA 02130-2652
Phone number: 617-522-6700
Mailing Address
MRS. LACI LUCILLE GENTRY LCSW
40 BELMONT ST # 1
SOMERVILLE, MA 02143-2535
Phone number: 502-298-2799
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