Individual
AGNES CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-6010
Mailing address
151 MERRIMAC ST FL 5, BOSTON, MA 02114-4714
(617) 643-7678
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
08/31/2016
Last updated
08/04/2023
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