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Individual

JUDITH B FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
280 MAIN STREET, STONEHAM, MA 02180-3590
(781) 438-0038
(791) 438-2398
Mailing address
24 UNION WHARF, BOSTON, MA 02109
(617) 742-2329
(781) 438-0038

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1029742
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
415032
VALUE OPTIONS
MA
01
P07450
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/06/2007
Last updated
07/08/2007
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