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1124552708
JORDAN PAUL BACKSTROM
WALTHAM, MA
NPI
1124552708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: MA 10520)
Enumeration Date
2017-04-20
Last Update Date
2017-04-20
Business Address
DR. JORDAN PAUL BACKSTROM PSY.D
85 1ST AVE
WALTHAM, MA 02451-1105
Phone number: 781-895-7963
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Mailing Address
DR. JORDAN PAUL BACKSTROM PSY.D
85 1ST AVE
WALTHAM, MA 02451-1105
Phone number: 781-895-7963
Copy
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