Individual
MRS. DEBRA FOX GANSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
280 MAIN ST, STONEHAM, MA 02180-3590
(781) 438-0038
(781) 438-2398
Mailing address
51 SEVINOR RD, MARBLEHEAD, MA 01945
(781) 990-1909
(781) 990-1909
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
113451
MA
Other
Enumeration date
02/13/2007
Last updated
03/12/2009
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