Individual
DR. IRA K PACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
361 PLANTATION ST, WORCESTER, MA 01605-2323
(508) 981-5952
Mailing address
PO BOX 469, SHARON, MA 02067-0469
(508) 856-8747
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3721
MA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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