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1750593307
MARY VICTORIA LISBON
JAMAICA PLAIN, MA
NPI
1750593307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1031432)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
Ms. MARY VICTORIA LISBON LICSW
180 MORTON ST ROOM 404A
JAMAICA PLAIN, MA 02130-3735
Phone number: 617-626-9370
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Mailing Address
Ms. MARY VICTORIA LISBON LICSW
225A WALNUT AVE # 3
ROXBURY, MA 02119-1624
Phone number: 617-626-9370
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