Individual
MARLENE J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
45 MERRIMACK ST, SUITE 200, LOWELL, MA 01852-1729
(978) 459-2306
Mailing address
51 ELDRED ST, LEXINGTON, MA 02420-1439
(781) 862-1715
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
576
MA
Other
Enumeration date
01/02/2007
Last updated
06/13/2008
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