Individual
MARY KATHERINE WOLLSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827
(617) 665-3370
(617) 625-1288
Mailing address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827
(617) 665-3370
(617) 546-0879
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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