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Individual
MARTHA ELIZABETH LARRABEE
Active
Individual
MARTHA ELIZABETH LARRABEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
106787
MA
1041C0700X
Clinical Social Worker
Primary
106787
MA
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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