Individual
ISLEY GOULART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
163 GORE ST, CAMBRIDGE, MA 02141-1119
(617) 575-5850
(617) 499-8360
Mailing address
163 GORE ST, CAMBRIDGE, MA 02141-1119
(617) 575-5850
(617) 499-8360
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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