Individual
MISS CAITLIN M MCDONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
675 MAIN ST, WALTHAM, MA 02451-0602
(781) 893-2003
Mailing address
19 MERCER ST APT 3, BOSTON, MA 02127-3911
(585) 269-9432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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