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1740772284
DOMINIQUE SIMON
NORTHAMPTON, MA
NPI
1740772284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 264709916)
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
DOMINIQUE SIMON phd
57 PROSPECT ST
NORTHAMPTON, MA 01060-2130
Phone number: 413-210-3724
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Mailing Address
DOMINIQUE SIMON phd
57 PROSPECT ST
NORTHAMPTON, MA 01060-2130
Phone number: 413-210-3724
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