Individual
KATHRYN DOLAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CHRISTOPHER ST, DORCHESTER, MA 02122-1206
(617) 282-2559
Mailing address
75 CHRISTOPHER ST, DORCHESTER, MA 02122-1206
(617) 282-2559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295
—
MA
05
—
1307576
—
MA
01
—
M18463
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
08/28/2013
Last updated
08/28/2013
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