Provider Information for 1013081009
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Mrs. ILENE PHYLLIS LINER LMHC
Sex: Female
NPI: 1013081009
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1013081009 | ||||||||
| Enumeration Date | 2006-11-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 145 BRIDLE TRAIL RD NEEDHAM, MA 02492-1480 United States Phone: 781-453-0381 | Fax: | ||||||||
| Primary Practice Address | 190 LENOX ST NORWOOD, MA 02062-3416 United States Phone: 781-769-8670 | Fax:781-769-6717 | ||||||||
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