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Individual

MS. JACQUELINE ALFONSO BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
264 BEACON ST FL 6, BOSTON, MA 02116
(617) 431-3749
(617) 812-2448
Mailing address
7 QUINSHIPAUG RD, MILFORD, MA 01757-1175
(305) 216-8008
(617) 812-2448

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10075
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10075
STATE OF MASSACHUSETTS
MA
Enumeration date
11/12/2007
Last updated
07/20/2018
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