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1902514011
LISA JEAN DANIEL
GARDNER, MA
NPI
1902514011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
Ms. LISA JEAN DANIEL BS
142 NICHOLS ST
GARDNER, MA 01440-4038
Phone number: 978-343-6300
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Mailing Address
Ms. LISA JEAN DANIEL BS
155 AIRPORT RD
FITCHBURG, MA 01420-8142
Phone number: 978-343-6300
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