Individual
MRS. KATIEMAE SKY OLDERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 PLANTATION ST, WORCESTER, MA 01604-3069
(508) 890-6519
(508) 363-0562
Mailing address
81 PLANTATION ST, WORCESTER, MA 01604-3069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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