Individual
KATHARINE KOSTANSKI TIEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 RYDER HILL RD, BRIGHTON, MA 02135-3005
(508) 314-1587
Mailing address
16 RYDER HILL RD, BRIGHTON, MA 02135-3005
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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