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Organization
TAGE LILJA LICSW LLC
Active
Organization
TAGE LILJA LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAGE LILJA LICSW (SOLE MEMBER)
(802) 556-2257
Entity
Organization
Contact information
Practice address
7 HARRIS AVE STE 1B, BOSTON, MA 02130-2888
(802) 391-9865
Mailing address
PO BOX 300138, BOSTON, MA 02130-0002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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