Individual
KATHLEEN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 788-1712
Mailing address
18 FAIRVIEW RD, MEDFIELD, MA 02052-2711
(617) 365-2627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4871630
MA
104100000X
Social Worker
Primary
313985
MA
Other
Enumeration date
03/26/2017
Last updated
03/26/2017
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