Organization
WILD CORE COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BURNS (LICSW)
(978) 400-2040
Entity
Organization
Contact information
Practice address
17 PIERCE AVE STE B24, FITCHBURG, MA 01420-7111
(978) 400-2040
Mailing address
17 PIERCE AVE STE B24, FITCHBURG, MA 01420-7111
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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