Individual
KALEN FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 BROOKLINE AVE, BOSTON, MA 02215-5403
(617) 667-6829
Mailing address
1110 BEACON ST APT 3B, BROOKLINE, MA 02446-3974
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
221167
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
MA
Enumeration date
05/24/2018
Last updated
05/24/2018
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