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1548470123
PATRICK JUDE LILLIS
BROOKLINE, MA
NPI
1548470123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 6212)
Enumeration Date
2007-05-23
Last Update Date
2015-01-17
Business Address
-- PATRICK JUDE LILLIS B.F.A, M.A. L.M.H.C.
129 HARVARD ST
BROOKLINE, MA 02446-6497
Phone number: 617-834-4235
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Mailing Address
-- PATRICK JUDE LILLIS B.F.A, M.A. L.M.H.C.
96 NEWBURG ST
ROSLINDALE, MA 02131-2826
Phone number: 617-327-4092
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