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1982987020
ALEXIS VICHNIAC
SOMERVILLE, MA
NPI
1982987020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist School
(Licence: MA 442207 7335)
Enumeration Date
2011-09-26
Last Update Date
2011-09-26
Business Address
MRS. ALEXIS VICHNIAC
163 ELM ST 3
SOMERVILLE, MA 02144-3110
Phone number: 617-571-8058
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Mailing Address
MRS. ALEXIS VICHNIAC
163 ELM ST 3
SOMERVILLE, MA 02144-3110
Phone number: 617-571-8058
Copy
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