Individual
KATHERINE LYN SLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
101Y00000X
Contact information
Practice address
345A GREENWOOD ST, WORCESTER, MA 01607-1753
(508) 363-0200
Mailing address
7 ROYAL CREST DR APT 1, NORTH ANDOVER, MA 01845-6420
(978) 879-3203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/05/2020
Last updated
02/23/2021
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