Individual
KATHLEEN CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
101 MERRIMAC ST STE 620, BOSTON, MA 02114-4736
(617) 643-6291
Mailing address
101 MERRIMAC ST STE 620, BOSTON, MA 02114-4736
(617) 643-6291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/24/2010
Last updated
08/08/2018
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