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1932864741
ALEXIS JEAN LANE
BROCKTON, MA
NPI
1932864741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-11-05
Last Update Date
2021-11-05
Business Address
Miss ALEXIS JEAN LANE TTS
10 MEADOWBROOK RD
BROCKTON, MA 02301-7122
Phone number: 774-213-8340
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Mailing Address
Miss ALEXIS JEAN LANE TTS
188 JEWETT ST
GEORGETOWN, MA 01833-1811
Phone number: 978-701-8151
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