Individual
CHRISTINE ISHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 EDGARTOWN ROAD, OAK BLUFFS, MA 02557
(508) 693-7900
Mailing address
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568-5699
(508) 693-7900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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