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352 W Boylston St Ste 233 West Boylston MA 01583-2342 | |
| (774) 623-1241 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 352 W Boylston St Ste 233, West Boylston, Massachusetts |
| Authorized Official Name and Position | Marygoretti Wairimu Kibe (PMHNP-BC) |
| Authorized Official Contact | 7746231241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
352 W Boylston St Ste 233 West Boylston MA 01583-2342 Ph: (774) 623-1241 | 352 W Boylston St Ste 233 West Boylston MA 01583-2342 Ph: (774) 623-1241 |
| NPI Number | 1457169633 |
|---|---|
| Provider Enumeration Date | 12/20/2024 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457169633 | NPI | - | NPPES |
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