JACOB AZERRAD

LEXINGTON, MA
NPI1922185479
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MA  915)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
-- JACOB AZERRAD Ph.D.
19 MUZZEY ST SUITE 310
LEXINGTON, MA 02421-5256
Phone number: 781-861-8637
Mailing Address
-- JACOB AZERRAD Ph.D.
19 MUZZEY ST P.O. BOX 353, SUITE 310
LEXINGTON, MA 02421-5256
Phone number: 781-861-8637
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