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1609189760
ELONZO STAFON ABRAHAM
BOSTON, MA
NPI
1609189760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC 0902231)
Enumeration Date
2010-07-19
Last Update Date
2010-07-19
Business Address
Mr. ELONZO STAFON ABRAHAM M.Ed, CACI
99 TOPEKA ST
BOSTON, MA 02118-2717
Phone number: 617-442-1499
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Mailing Address
Mr. ELONZO STAFON ABRAHAM M.Ed, CACI
99 TOPEKA ST
BOSTON, MA 02118-2717
Phone number: 617-442-1499
Copy
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