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1962997866
CHANNEL CHANTAL LAWRENCE
NEW BEDFORD, MA
NPI
1962997866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-25
Last Update Date
2018-06-25
Business Address
CHANNEL CHANTAL LAWRENCE
72 KILBURN ST
NEW BEDFORD, MA 02740-7321
Phone number: 774-213-8448
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Mailing Address
CHANNEL CHANTAL LAWRENCE
72 KILBURN ST
NEW BEDFORD, MA 02740-7321
Phone number:
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