Individual
KATELYN SOUTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 EAST AVE, KINGSTON, MA 02364-1776
(781) 724-0487
Mailing address
15 EAST AVE, KINGSTON, MA 02364-1776
(781) 724-0487
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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