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1548735327
GLADYS NAKUNGU KASANSULA
WATERTOWN, MA
NPI
1548735327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
GLADYS NAKUNGU KASANSULA
SQUARE MEDICAL GROUP 124 WATERTOWN STREET, SUITE 2D
WATERTOWN, MA 02472
Phone number: 617-916-5069
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Mailing Address
GLADYS NAKUNGU KASANSULA
24 WHITES AVE APT 27
WATERTOWN, MA 02472-4323
Phone number: 617-407-9385
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