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Individual
JOHN LIPTON
Active
Individual
JOHN LIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19040
MA
101Y00000X
Counselor
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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