Individual
GENEVIEVE ALICE WOOLVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(888) 644-3248
Mailing address
80 WORCESTER ST APT 2, BOSTON, MA 02118-3936
(617) 281-3681
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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