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Organization

THE CONCORD CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMIE A MICCO PHD (MANAGING PARTNER)
(617) 947-3596
Entity
Organization

Contact information

Practice address
747 MAIN ST STE 324, CONCORD, MA 01742-3302
(617) 947-3596
Mailing address
747 MAIN ST STE 324, CONCORD, MA 01742-3302

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary

Other

Enumeration date
05/23/2019
Last updated
05/23/2019
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