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1992864110
TINEKE CARMAN VANDEGRIFT
CONCORD, MA
NPI
1992864110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: MA 7174)
Enumeration Date
2006-12-06
Last Update Date
2016-06-03
Business Address
DR. TINEKE CARMAN VANDEGRIFT PSY.D.
30 DOMINO DR STE 2
CONCORD, MA 01742-2802
Phone number: 978-263-1611
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Mailing Address
DR. TINEKE CARMAN VANDEGRIFT PSY.D.
PO BOX 664
ACTON, MA 01720-0664
Phone number: 978-263-1611
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