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1982989638
JUDITH M MCDONOUGH
RANDOLPH, MA
NPI
1982989638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 178)
Enumeration Date
2011-10-13
Last Update Date
2011-10-13
Business Address
-- JUDITH M MCDONOUGH LADC 1
158 POND ST
RANDOLPH, MA 02368-2621
Phone number: 781-963-8251
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Mailing Address
-- JUDITH M MCDONOUGH LADC 1
158 POND ST
RANDOLPH, MA 02368-2621
Phone number: 781-963-8251
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