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1588745301
CAROL ANN IVAN
NEWTON, MA
NPI
1588745301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MA 7178)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
Dr. CAROL ANN IVAN Ph.D.
1400 CENTRE ST SUITE 105
NEWTON, MA 02459-2454
Phone number: 617-964-0900
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Mailing Address
Dr. CAROL ANN IVAN Ph.D.
PO BOX 590354
NEWTON, MA 02459-0003
Phone number: 617-964-0900
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