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1932702586
SELINA LANG
BROOKLINE, MA
NPI
1932702586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 12021)
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
SELINA LANG
1269 BEACON ST STE 2
BROOKLINE, MA 02446-5248
Phone number: 617-934-1974
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Mailing Address
SELINA LANG
1000 JEFFERSON ST STE 2C
LYNCHBURG, VA 24504-1724
Phone number: 617-934-1974
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