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1477681302
CAROL ANN LICITRA
CAMBRIDGE, MA
NPI
1477681302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 5361)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
-- CAROL ANN LICITRA LMHC
930 MASSACHUSETTS AVE
CAMBRIDGE, MA 02139-3234
Phone number: 617-877-7481
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Mailing Address
-- CAROL ANN LICITRA LMHC
930 MASSACHUSETTS AVE
CAMBRIDGE, MA 02139-3234
Phone number: 617-877-7481
Copy
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