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Individual

KATHERINE CHANDLER WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHCNS-BC

Contact information

Practice address
1611 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4302
(617) 661-5515
Mailing address
50 HALL ST, APT 1, JAMAICA PLAIN, MA 02130-3220
(978) 502-5804

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN274714
MA

Other

Enumeration date
01/07/2011
Last updated
01/07/2011
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