Individual
KAITLYN COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 CONGRESS ST, SALEM, MA 01970-5529
(603) 682-2208
Mailing address
82 SPRUCE ST, WATERTOWN, MA 02472-1904
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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