Individual
MARY BAURES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 ESSEX GREEN DR, NO. 65, PEABODY, MA 01960-2961
(978) 664-2566
Mailing address
7 ESSEX GREEN DR, NO. 65, PEABODY, MA 01960-2961
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7059
MA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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