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1528238003
MARY L. POWELL
BOSTON, MA
NPI
1528238003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 1605)
Enumeration Date
2008-03-11
Last Update Date
2008-03-11
Business Address
Mrs. MARY L. POWELL LADC-II
1010 MASSACHUSETTS AVE
BOSTON, MA 02118-2600
Phone number: 617-534-4222
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Mailing Address
Mrs. MARY L. POWELL LADC-II
1010 MASSACHUSETTS AVE
BOSTON, MA 02118-2600
Phone number: 617-534-4222
Copy
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