Individual
CHARLOTTE MARIE WAITKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 WATER ST APT 3, LEOMINSTER, MA 01453-3644
(978) 846-9653
Mailing address
245 WATER ST APT 3, LEOMINSTER, MA 01453-3644
(978) 846-9653
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
06/16/2018
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