Individual
MS. NANCY LEONTINE WOOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA PSYCHOANALYSIS
Contact information
Practice address
87 PLYMPTON ST, WALTHAM, MA 02451-0737
(781) 894-0311
Mailing address
87 PLYMPTON ST, WALTHAM, MA 02451-0737
(781) 894-0311
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
NOT LICENSED
MA
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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