Individual
CATHERINE B THERIAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 JAMES ONEILL ST, SOUTH BOSTON, MA 02127-4504
(617) 534-9500
(617) 534-9515
Mailing address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 534-3134
(617) 534-2611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122393
MA
Other
Enumeration date
09/09/2016
Last updated
04/05/2023
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