Individual
MARILYN BUCHAN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
29 PINE ST PH P, SOUTHBRIDGE, MA 01550-1823
(508) 765-2248
Mailing address
29 PINE ST. PHP, SOUTHBRIDGE, MA 01550
(508) 765-2248
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
501
MA
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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