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Individual

LIBERIA PHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1135 N MAIN ST, FALL RIVER, MA 02720-2725
(508) 675-8340
(508) 675-8414
Mailing address
1621 OLD WILLIAMS ST, DIGHTON, MA 02715-1317
(508) 646-8093
(508) 675-8414

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
MA
1041S0200X
School Social Worker
Primary
MA

Other

Enumeration date
09/04/2018
Last updated
09/04/2018
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