Individual
MS. ALISON LEE LICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
10 HANCOCK CT, QUINCY, MA 02169-5210
(617) 769-7224
Mailing address
290 QUARRY ST, APT 316, QUINCY, MA 02169-4162
(617) 921-6043
(617) 328-2078
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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