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1750509352
MARK STEPHEN SPIVAK
NEWBURYPORT, MA
NPI
1750509352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 105249)
Enumeration Date
2007-04-22
Last Update Date
2007-07-09
Business Address
Mr. MARK STEPHEN SPIVAK LICSW
25 STATE ST
NEWBURYPORT, MA 01950-6614
Phone number: 978-948-5505
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Mailing Address
Mr. MARK STEPHEN SPIVAK LICSW
38 FENNO DR
ROWLEY, MA 01969-1005
Phone number: 978-948-5505
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