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Individual

ANJA MARINA ULLRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
62 DERBY ST STE 6, HINGHAM, MA 02043-3718
(671) 791-1403
Mailing address
62 DERBY ST STE 6, HINGHAM, MA 02043-3718
(671) 791-1403

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9222
MA

Other

Enumeration date
10/15/2010
Last updated
04/13/2019
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