Individual
MS. CHRISTINE S KLOSTERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
343 MARRETT RD, LEXINGTON, MA 02421-7936
(781) 861-7365
Mailing address
343 MARRETT RD, LEXINGTON, MA 02421-7936
(781) 861-7365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102952
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891961
MASS BEHAVIORAL PARTNERSH
MA
01
—
PPO133
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
07/17/2006
Last updated
07/21/2022
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