Individual
MARGARET MARY MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
76 BEDFORD ST, SUITE 12, LEXINGTON, MA 02420-4646
(781) 861-6655
Mailing address
76 BEDFORD ST, SUITE 12, LEXINGTON, MA 02420-4646
(781) 861-6655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
9082
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
9082
MA
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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