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1891911749
SANDRA ANN THEODOR
MEDFORD, MA
NPI
1891911749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1029070)
Enumeration Date
2007-04-18
Last Update Date
2013-08-04
Business Address
Ms. SANDRA ANN THEODOR LICSW
151 MYSTIC AVE STE 6, DCS MENTAL HEALTH INC.
MEDFORD, MA 02155-4632
Phone number: 781-396-1199
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Mailing Address
Ms. SANDRA ANN THEODOR LICSW
46 CRANMORE LN
MELROSE, MA 02176-1507
Phone number: 781-662-1185
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