Individual
LARISSA MORLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 TURNPIKE ST # 1, CANTON, MA 02021-2700
(781) 619-1500
Mailing address
340 TURNPIKE ST # 1, CANTON, MA 02021-2700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9768
MA
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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