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1790294981
EVAN MORAN QUEENAN
BRIGHTON, MA
NPI
1790294981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
EVAN MORAN QUEENAN
77 WARREN ST
BRIGHTON, MA 02135
Phone number: 617-254-1271
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Mailing Address
EVAN MORAN QUEENAN
77 WARREN ST
BRIGHTON, MA 02135-3601
Phone number:
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