Individual
KATELINE FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1185
Mailing address
212 WALDEMAR AVE APT 115, BOSTON, MA 02128-1087
(617) 318-8364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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