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1891006177
THOMAS EDWARD MAGNAN
SOUTH BOSTON, MA
NPI
1891006177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 1369)
Enumeration Date
2010-07-01
Last Update Date
2010-07-01
Business Address
Mr. THOMAS EDWARD MAGNAN LADCI
49 L ST
SOUTH BOSTON, MA 02127-1511
Phone number: 617-268-5000
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Mailing Address
Mr. THOMAS EDWARD MAGNAN LADCI
49 L ST
SOUTH BOSTON, MA 02127-1511
Phone number: 617-268-5000
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