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Organization

RENEWAL COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA DOMAN MA, LMHC (SOLE PROPRIETOR)
(508) 642-9273
Entity
Organization

Contact information

Practice address
129 N MAIN ST, #304, MANSFIELD, MA 02048-3803
(508) 642-9273
(508) 822-2537
Mailing address
5 EARL ST, TAUNTON, MA 02780-4504
(508) 642-9273
(508) 822-2537

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5637
MA

Other

Enumeration date
08/25/2016
Last updated
08/25/2016
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