Individual
AMANDA KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PATTEN ST, WATERTOWN, MA 02472-3934
(802) 282-6610
Mailing address
10 PATTEN ST, WATERTOWN, MA 02472-3934
(802) 282-6610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S89384583
MA
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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