Individual
KATHLEEN FADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
13 MEADE ST, PEABODY, MA 01960-4627
(978) 979-7391
Mailing address
295 HARVARD ST APT 404, CAMBRIDGE, MA 02139-2326
(978) 979-7391
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
06/12/2020
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