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1780249763
CARISSA JUANITA SOUZA
TAUNTON, MA
NPI
1780249763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-06
Last Update Date
2019-05-06
Business Address
CARISSA JUANITA SOUZA
135 WASHINGTON ST
TAUNTON, MA 02780-2582
Phone number: 774-213-8448
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Mailing Address
CARISSA JUANITA SOUZA
72 KILBURN ST
NEW BEDFORD, MA 02740-7321
Phone number:
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