Individual
KATHERINE GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 WATERTOWN ST, SUITE 2-E, WATERTOWN, MA 02472-2576
(617) 272-0212
Mailing address
29 TUFTS RD, WELLS, ME 04090-7426
(617) 590-4108
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
103K00000X
MA
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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