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1992819577
BRIAN F FAHERTY
LYNN, MA
NPI
1992819577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TB0200X Psychologist Cognitive & Behavioral
(Licence: MA 6280)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
BRIAN F FAHERTY PSYD
269 UNION ST
LYNN, MA 01901
Phone number: 781-581-3900
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Mailing Address
BRIAN F FAHERTY PSYD
PO BOX 526
LYNN, MA 01903
Phone number: 781-596-2502
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