Organization
LARISSA MORLOCK, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA MORLOCK (OWNER)
(517) 281-0068
Entity
Organization
Contact information
Practice address
992 GREAT PLAIN AVE STE 25, NEEDHAM, MA 02492-2524
(517) 281-0068
Mailing address
992 GREAT PLAIN AVE STE 25, NEEDHAM, MA 02492-2524
(517) 281-0068
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9768
MA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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