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Individual

MARYKATHRYN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
149 SYLVAN ST, DANVERS, MA 01923-3564
(978) 774-7570
(978) 777-8547
Mailing address
149 SYLVAN ST, DANVERS, MA 01923-3564
(978) 774-7570
(978) 777-8547

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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