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1770117442
JILL MICHELE LACK
DANVERS, MA
NPI
1770117442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 3679)
Enumeration Date
2020-03-02
Last Update Date
2020-03-02
Business Address
JILL MICHELE LACK
199 ROSEWOOD DR STE 250
DANVERS, MA 01923-1684
Phone number: 978-968-1719
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Mailing Address
JILL MICHELE LACK
199 ROSEWOOD DR STE 250
DANVERS, MA 01923-1684
Phone number: 978-968-1719
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