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MAGDALENA WOJTOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
HOME BASE PROGRAM, 101 MERRIMAC STREET, 2ND FLOOR, BOSTON, MA 02114
(617) 726-2000
Mailing address
HOME BASE PROGRAM, 101 MERRIMAC STREET, 2ND FLOOR, BOSTON, MA 02114
(617) 726-2000

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10401
MA
390200000X
Student in an Organized Health Care Education/Training Program
MA

Other

Enumeration date
11/04/2014
Last updated
11/16/2016
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