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Individual

CAROL A THOMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6680
(617) 730-0319
Mailing address
76 BEDFORD STREET, SUITE 17, LEXINGTON, MA 02420-2217

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4231
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4231
MA

Other

Enumeration date
12/30/2006
Last updated
10/27/2007
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