Individual
MARIKO SAKURAI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
43 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107
Mailing address
43 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5026
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W10533
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/14/2006
Last updated
07/08/2007
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