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1710583620
PHYLICIA LEE THIBEAULT
FALL RIVER, MA
NPI
1710583620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
PHYLICIA LEE THIBEAULT
22 FRONT ST
FALL RIVER, MA 02721-4302
Phone number: 508-676-1307
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Mailing Address
PHYLICIA LEE THIBEAULT
22 FRONT ST
FALL RIVER, MA 02721-4302
Phone number: 508-676-1307
Copy
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