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1750668539
ANGELA MARIE FONSECA
DORCHESTER CENTER, MA
NPI
1750668539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
Ms. ANGELA MARIE FONSECA LADCI CAS
62 WALDECK ST
DORCHESTER CENTER, MA 02124-1329
Phone number: 617-265-2636
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Mailing Address
Ms. ANGELA MARIE FONSECA LADCI CAS
618 TWIN LAKES DR
HALIFAX, MA 02338-2229
Phone number: 781-294-4123
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