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1811025497
VERONICA LAKE HIGGINBOTTOM
JAMAICA PLAIN, MA
NPI
1811025497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MA 204157)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
MS. VERONICA LAKE HIGGINBOTTOM MSW
157 GREEN ST
JAMAICA PLAIN, MA 02130-2667
Phone number: 617-983-5800
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Mailing Address
MS. VERONICA LAKE HIGGINBOTTOM MSW
48 ALPINE ST
ROXBURY, MA 02119-3403
Phone number: 617-983-5800
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