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1992132963
BOOMER PSYCHOLOGICAL SERVICES PC
NEW YORK, NY
NPI
1992132963
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Entity Type
Organization
Authorized Contact
BONNIE KELLEN
President
212-861-0740
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 011975)
Enumeration Date
2013-10-04
Last Update Date
2013-10-04
Business Address
BOOMER PSYCHOLOGICAL SERVICES PC
201 E 77TH ST APT 16E
NEW YORK, NY 10075-2085
Phone number: 212-861-0740
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Mailing Address
BOOMER PSYCHOLOGICAL SERVICES PC
201 E 77TH ST APT 16E
NEW YORK, NY 10075-2085
Phone number: 212-861-0740
Copy
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