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1912242066
JAE E LEE
BROCKTON, MA
NPI
1912242066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 219309)
Enumeration Date
2012-11-30
Last Update Date
2013-10-11
Business Address
Ms. JAE E LEE LCSW
1115 W CHESTNUT ST
BROCKTON, MA 02301-7501
Phone number: 508-580-4691
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Mailing Address
Ms. JAE E LEE LCSW
6 SPRING VALLEY RD
BELMONT, MA 02478-1718
Phone number: 617-894-2246
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