Individual
KATHERINE ANN PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
20 VESPER LN, NANTUCKET, MA 02554-4394
(508) 228-2689
Mailing address
20 VESPER LN, NANTUCKET, MA 02554-4394
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NI4573
MA
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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