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Individual

JESSIE FABIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
272 FARNHAM ST., LAWRENCE, MA 01843
(978) 397-9311
Mailing address
272 FARNHAM ST, LAWRENCE, MA 01843-1844
(978) 397-9311

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103T00000X
Psychologist
104100000X
Social Worker

Other

Enumeration date
07/01/2011
Last updated
07/01/2011
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