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1821319096
KELLY A MEDEIROS
NEW BEDFORD, MA
NPI
1821319096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-06-22
Last Update Date
2010-06-22
Business Address
-- KELLY A MEDEIROS
10 KILBURN ST
NEW BEDFORD, MA 02740-7321
Phone number: 508-979-1122
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Mailing Address
-- KELLY A MEDEIROS
125 N ELM ST
WESTFIELD, MA 01085-1643
Phone number:
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