Kathleen Fader, LICSW

NPI #1295131217 in Peabody, Massachusetts

Provider Information

NPI Number: 1295131217
Entity Type: Individual
Name: Kathleen Fader, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: LICSW
Enumeration Date: Nov 19, 2014
Last Updated: Jun 12, 2020

Practice Location

Address: 13 MEADE ST
City: Peabody
State: Massachusetts
ZIP Code: 01960-4627
Phone: (978) 979-7391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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