Individual
KATHRYN CLARE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CNSC
Contact information
Practice address
19 SAINT GERMAIN ST APT 7, BOSTON, MA 02115-3232
(860) 303-4222
Mailing address
19 SAINT GERMAIN ST APT 7, BOSTON, MA 02115-3232
(860) 303-4222
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4877
MA
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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