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1730230145
CAROLYN STACK
CAMBRIDGE, MA
NPI
1730230145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MA 6571)
Enumeration Date
2007-01-13
Last Update Date
2007-07-08
Business Address
Dr. CAROLYN STACK Psy.D.
129 MOUNT AUBURN ST
CAMBRIDGE, MA 02138-5766
Phone number: 617-864-0765
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Mailing Address
Dr. CAROLYN STACK Psy.D.
154 CHILTON ST
CAMBRIDGE, MA 02138-1227
Phone number: 617-876-7785
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