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1366698102
LAURA GRACE MATLACK
WELLESLEY, MA
NPI
1366698102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: MA 9366)
Enumeration Date
2008-08-12
Last Update Date
2011-08-19
Business Address
MS. LAURA GRACE MATLACK PSY.D.
11 CHAPEL PL
WELLESLEY, MA 02481-3130
Phone number: 781-235-4950
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Mailing Address
MS. LAURA GRACE MATLACK PSY.D.
16 MAGNOLIA AVE # 1
CAMBRIDGE, MA 02138-3217
Phone number: 617-686-1392
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