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Individual

DR. FAIRLEE CECILIA FABRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-4510
Mailing address
16B PORTER RD, MEDFORD, MA 02155-3121
(617) 838-2321

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
9470
MA
103TC0700X
Clinical Psychologist
Primary
9470
MA
103TC2200X
Clinical Child & Adolescent Psychologist
9470
MA

Other

Enumeration date
03/14/2012
Last updated
03/14/2012
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