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1790176188
LA TANYA SMITH
MATTAPAN, MA
NPI
1790176188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MA 413153)
Enumeration Date
2015-02-06
Last Update Date
2015-02-06
Business Address
-- LA TANYA SMITH M.A.
30 KENNEBEC ST
MATTAPAN, MA 02126-1317
Phone number: 617-224-8755
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Mailing Address
-- LA TANYA SMITH M.A.
30 KENNEBEC ST
MATTAPAN, MA 02126-1317
Phone number: 617-224-8755
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