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1578932927
COASTAL ABA
DUXBURY, MA
NPI
1578932927
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Entity Type
Organization
Authorized Contact
ADAM CLARK
Manager
617-620-8588
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: MA 1107529)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
COASTAL ABA
120 LAUREL ST
DUXBURY, MA 02332-2936
Phone number: 617-620-8588
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Mailing Address
COASTAL ABA
120 LAUREL ST
DUXBURY, MA 02332-2936
Phone number: 617-620-8588
Copy
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