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1659141851
ROY DARRIN WHITAKER
LAWRENCE, MA
NPI
1659141851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 18651)
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
ROY DARRIN WHITAKER
10 EMBANKMENT ST
LAWRENCE, MA 01841-4731
Phone number: 978-620-9745
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Mailing Address
ROY DARRIN WHITAKER
10 EMBANKMENT ST
LAWRENCE, MA 01841-4731
Phone number: 978-620-9745
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