Individual
MS. KATHRYN JEAN BANGERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
37 BELMONT STREET, BROCKTON, MA 02301
(508) 580-4691
Mailing address
57 GLENDOWER ROAD, ROSLINDALE, MA 02131
(617) 323-9024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106606
MA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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