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1871001594
WANDA LYNN LAINE
LOWELL, MA
NPI
1871001594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL CAP100114)
Enumeration Date
2018-01-16
Last Update Date
2018-01-16
Business Address
WANDA LYNN LAINE CAP
650 SUFFOLK ST
LOWELL, MA 01854-3642
Phone number: 978-452-5155
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Mailing Address
WANDA LYNN LAINE CAP
10 RADCLIFFE DR
HUDSON, NH 03051-4743
Phone number: 603-305-4048
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