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1710461124
AVIVA L. LIST
STOUGHTON, MA
NPI
1710461124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 120351)
Enumeration Date
2018-09-21
Last Update Date
2024-09-30
Business Address
AVIVA L. LIST LICSW
450 PEARL ST STE 3
STOUGHTON, MA 02072-1617
Phone number: 646-645-4680
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Mailing Address
AVIVA L. LIST LICSW
9 EMERSON RD
WELLESLEY, MA 02481-3401
Phone number: 646-645-4680
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