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Individual

KATHLEEN LICATA DODGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
67 CROCKER AVE, TURNERS FALLS, MA 01376-1925
(413) 388-1952
Mailing address
67 CROCKER AVE, TURNERS FALLS, MA 01376-1925
(413) 388-1952

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN191969
MA

Other

Enumeration date
08/18/2021
Last updated
08/18/2021
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