Individual
ISIAH FITZGERALD CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 QUEEN ST, WORCESTER, MA 01610-2411
(508) 860-1000
Mailing address
16 KINGS WAY UNIT 102C, WALTHAM, MA 02451-9006
(469) 658-5607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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