JEREMY CLARK BLACKWOOD

LYNN, MA
NPI1598015372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-09-19
Last Update Date2012-09-19
Business Address
-- JEREMY CLARK BLACKWOOD
181 UNION ST STE 2
LYNN, MA 01901-1346
Phone number: 978-542-1951
Mailing Address
-- JEREMY CLARK BLACKWOOD
341 CARDINAL MEDEIROS AVE
CAMBRIDGE, MA 02141-1420
Phone number: 617-388-2383