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Individual

MRS. KATHERINE E NICHOLAS MALVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
605 LINCOLN ST, WORCESTER, MA 01605-1901
(508) 856-0104
(508) 856-7425
Mailing address
605 LINCOLN ST, WORCESTER, MA 01605-1901
(508) 856-0104
(508) 856-7425

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
216109
MA
1041C0700X
Clinical Social Worker
116562
MA

Other

Enumeration date
12/15/2009
Last updated
03/18/2013
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