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1922427772
ROGER WAITT
LYNN, MA
NPI
1922427772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 122790)
Enumeration Date
2014-04-09
Last Update Date
2020-12-03
Business Address
ROGER WAITT LICSW
18 BROADWAY CIR
LYNN, MA 01904
Phone number: 978-828-7315
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Mailing Address
ROGER WAITT LICSW
PO BOX 8029
LYNN, MA 01904-0029
Phone number: 978-869-3129
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