Individual
CELESTE MARIE IKOLODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 VESPER LN, NANTUCKET, MA 02554-4394
(508) 228-2689
Mailing address
20 VESPER LN, NANTUCKET, MA 02554-4394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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