PAUL RICHARD FAIRCLOTH

BOSTON, MA
NPI1689884009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  102840)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Mr. PAUL RICHARD FAIRCLOTH MSW
75 FRANCIS ST
BOSTON, MA 02115
Phone number: 617-732-7882
Mailing Address
Mr. PAUL RICHARD FAIRCLOTH MSW
3 ST JOHN ST
JAMAICA PLAIN, MA 02130
Phone number: 617-522-2203
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