Individual
KATE NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CONDOR ST, BOSTON, MA 02128-1305
(617) 569-6560
Mailing address
128 CHESTNUT ST, WAKEFIELD, MA 01880-2248
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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