Individual
MARYSA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
125 NEWBURY ST STE 500, FRAMINGHAM, MA 01701-4593
(781) 829-3321
Mailing address
125 NEWBURY ST STE 500, FRAMINGHAM, MA 01701-4593
(781) 551-0999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5000421
MA
Other
Enumeration date
08/03/2020
Last updated
08/09/2023
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