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Contact Information

KATHERINE KOLACZENKO
125 HARTWELL AVE
LEXINGTON, MA02421-3100
 Phone: 781-861-0890
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for KATHERINE KOLACZENKO · (Female)

NPI Number 1497409098
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2022
Last updated 06/01/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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