Individual
DR. I-WEN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1470
Mailing address
402 HIGHLAND AVE, APT#33, SOMERVILLE, MA 02144-2548
(404) 446-5525
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/31/2007
Last updated
09/25/2007
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