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Individual

MARJORIE GOLDSTEIN-FRADIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
72 RANDALL ST, NORTH EASTON, MA 02356-2249
(508) 878-3985
Mailing address
72 RANDALL ST, NORTH EASTON, MA 02356-2249
(508) 878-3985

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7136
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7136
MA
Enumeration date
01/15/2021
Last updated
01/15/2021
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