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1457879942
REBECCA LYNN DIVICO
EAST LONGMEADOW, MA
NPI
1457879942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 12081)
Enumeration Date
2017-09-05
Last Update Date
2021-04-06
Business Address
REBECCA LYNN DIVICO
200 N MAIN ST STE 17
EAST LONGMEADOW, MA 01028-2354
Phone number: 413-209-7796
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Mailing Address
REBECCA LYNN DIVICO
46 SCHOOL ST APT B
SOUTH HADLEY, MA 01075-2887
Phone number: 413-230-7933
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