Individual
JANET LYNN GEORGE
Active
Individual
JANET LYNN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
3675
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
3675
MA
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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