Individual
CAITLYN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 VICTORY RD, DORCHESTER, MA 02122-3518
(617) 371-3010
Mailing address
105 VICTORY RD, DORCHESTER, MA 02122-3518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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