Individual
MISS KATRINA MARIE VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 IYANNOUGH RD, HYANNIS, MA 02601-1839
(508) 778-1839
Mailing address
1019 IYANNOUGH RD, HYANNIS, MA 02601-1839
(508) 778-1839
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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