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1164413795
DARA SUE MANOACH
BOSTON, MA
NPI
1164413795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MA 6021)
Enumeration Date
2005-11-02
Last Update Date
2007-07-08
Business Address
Dr. DARA SUE MANOACH PHD
55 FRUIT ST B36 420 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Phone number: 617-724-6148
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Mailing Address
Dr. DARA SUE MANOACH PHD
PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-0287
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