Individual
KATHERINE SANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
153 W 3RD ST APT 3, BOSTON, MA 02127-2061
(773) 392-5565
Mailing address
153 W 3RD ST APT 3, BOSTON, MA 02127-2061
(773) 392-5565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW019446
PA
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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