Individual
MS. KATHLEEN MARIE ANDOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CS, PC
Contact information
Practice address
82 MARLBOROUGH ST, BOSTON, MA 02116-2020
(774) 469-0299
(617) 250-8502
Mailing address
11 STUART ST, MEDFIELD, MA 02052-3136
(508) 359-2506
(617) 250-8502
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
145820
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
145820
MA
Other
Enumeration date
11/13/2006
Last updated
08/04/2015
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