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Individual

JANELLE BRINK WOLTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3 BLACKBURN CTR, GLOUCESTER, MA 01930-2268
(978) 283-7198
Mailing address
96 MIDDLE ST APT 3, GLOUCESTER, MA 01930-5727
(603) 988-5285

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/10/2019
Last updated
09/10/2019
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