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1770817538
LISA E BASTOS
DEDHAM, MA
NPI
1770817538
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Former Name
LISA RUSSELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-09-28
Last Update Date
2020-09-08
Business Address
LISA E BASTOS LMHC
20 EASTBOOK RD SUITE 103
DEDHAM, MA 02026
Phone number: 781-329-9365
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Mailing Address
LISA E BASTOS LMHC
15 TOWNE ST
NORTH ATTLEBORO, MA 02760-4008
Phone number: 602-568-3581
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