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1710107941
LISA MARIE SERGENTANIS
EAST LONGMEADOW, MA
NPI
1710107941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 113028)
Enumeration Date
2007-04-30
Last Update Date
2007-07-08
Business Address
Mrs. LISA MARIE SERGENTANIS LICSW
143 SHAKER ROAD
EAST LONGMEADOW, MA 01028-0216
Phone number: 413-525-1711
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Mailing Address
Mrs. LISA MARIE SERGENTANIS LICSW
143 SHAKER RD
EAST LONGMEADOW, MA 01028-2786
Phone number: 413-525-1711
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