Katherine Lyn Slom, 101Y00000X
NPI #1013542463 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1013542463
- Entity Type
- Individual
- Name
- Katherine Lyn Slom, 101Y00000X
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- 101Y00000X
- Enumeration Date
- Mar 5, 2020
- Last Updated
- Feb 23, 2021
Practice Location
- Address
- 345A GREENWOOD ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01607-1753
- Phone
- (508) 363-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Counselor |
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