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Individual

DR. SUSAN M BREFACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D.

Contact information

Practice address
4 MILITIA DR, SUITE 23, LEXINGTON, MA 02421-4737
(781) 860-7211
Mailing address
PO BOX 230, LEXINGTON, MA 02420-0003
(781) 860-7211
(617) 249-0446

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4530
MA

Other

Enumeration date
03/24/2006
Last updated
07/08/2007
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