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Individual

MS. PATRICIA ROSE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD INACTIVE RN MTC

Contact information

Practice address
393 MASS AVE, ARLINGTON, MA 02474
(781) 929-3377
Mailing address
393 MASS AVE, ARLINGTON, MA 02474
(781) 929-3377

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
374
VT
103TC0700X
Clinical Psychologist
Primary
7606
MA

Other

Enumeration date
01/03/2007
Last updated
07/08/2007
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