Individual
MADELON A KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
172 LAFAYETTE ST, SALEM, MA 01970
(978) 744-4033
(978) 740-4996
Mailing address
5 FLORENCE ST, CAMBRIDGE, MA 02139
(617) 868-4460
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7818
MA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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