Individual
CASEY WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 LEXINGTON ST, WALTHAM, MA 02452-0933
(781) 647-9976
Mailing address
409 LEXINGTON ST, WALTHAM, MA 02452-0933
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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