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Individual

CEANE WILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
691 MASSACHUSETTS AVE, ARLINGTON, MA 02476-4905
(781) 606-2164
Mailing address
129 WALTON PARK, MELROSE, MA 02176-1648
(781) 606-2164

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6243
MA

Other

Enumeration date
05/03/2018
Last updated
05/03/2018
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