Individual
DR. MARGERY KISTIN ANZALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1074 MAIN ST, WEST BARNSTABLE, MA 02668-1142
(781) 696-1139
Mailing address
PO BOX 1629, ONSET, MA 02558-1629
(781) 696-1139
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1884
MA
103TC0700X
Clinical Psychologist
Primary
1884
MA
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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