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1457540866
LACI LUCILLE GENTRY
JAMAICA PLAIN, MA
NPI
1457540866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 214386)
Enumeration Date
2007-10-22
Last Update Date
2007-10-22
Business Address
Mrs. LACI LUCILLE GENTRY LCSW
555 AMORY ST
JAMAICA PLAIN, MA 02130-2652
Phone number: 617-522-6700
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Mailing Address
Mrs. LACI LUCILLE GENTRY LCSW
40 BELMONT ST # 1
SOMERVILLE, MA 02143-2535
Phone number: 502-298-2799
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