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1801805643
JACQUES LUCIEN TRUDEL
WORCESTER, MA
NPI
1801805643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 1645)
Enumeration Date
2006-08-07
Last Update Date
2007-07-08
Business Address
Mr. JACQUES LUCIEN TRUDEL M.A.,LADC I
12 QUEEN STREET
WORCESTER, MA 01610
Phone number: 508-438-5583
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Mailing Address
Mr. JACQUES LUCIEN TRUDEL M.A.,LADC I
795 ALPINE DR
SOUTHBRIDGE, MA 01550-3957
Phone number: 508-438-5583
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