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1568778405
MICAH BANNISTER
NEW BEDFORD, MA
NPI
1568778405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-08-30
Last Update Date
2010-08-30
Business Address
Mr. MICAH BANNISTER
543 NORTH ST
NEW BEDFORD, MA 02740-2782
Phone number: 508-984-5566
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Mailing Address
Mr. MICAH BANNISTER
543 NORTH ST
NEW BEDFORD, MA 02740-2782
Phone number: 508-984-5566
Copy
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