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Individual

JENNA LIPSCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
75 AMORY ST, ROXBURY, MA 02119-1051
(857) 399-1920
(857) 399-1921
Mailing address
75 AMORY ST, ROXBURY, MA 02119-1051
(857) 399-1920
(857) 399-1921

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/17/2016
Last updated
05/17/2016
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