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1285912550
MAGGIE BLACK
OLD SAYBROOK, CT
NPI
1285912550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MD 04855)
Enumeration Date
2011-08-03
Last Update Date
2011-08-03
Business Address
-- MAGGIE BLACK PsyD
20 RESEARCH PKWY
OLD SAYBROOK, CT 06475-4214
Phone number: 800-370-3651
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Mailing Address
-- MAGGIE BLACK PsyD
901 DULANEY VALLEY RD SUITE 129
TOWSON, MD 21204-2600
Phone number: 410-832-2729
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