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1598300568
LISA PREMO
WORCESTER, MA
NPI
1598300568
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Former Name
LISA DUBE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
LISA PREMO
11 SYCAMORE ST
WORCESTER, MA 01608-2213
Phone number: 508-798-1900
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Mailing Address
LISA PREMO
11 SYCAMORE ST
WORCESTER, MA 01608-2213
Phone number: 508-798-1900
Copy
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