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Katie E Ilkovich
Peer Specialist in Yarmouth Port, Massachusetts
NPI 1851082648

Katie E Ilkovich is a Peer Specialist based in Yarmouth Port, MA. Katie E Ilkovich practices in Yarmouth Port, MA. The NPI Number for Katie E Ilkovich is 1851082648 and holds a License No. (Massachusetts).

The current practice location address for Katie E Ilkovich is 221 Willow St, Yarmouth Port, MA and can be reached out via phone at 508-771-2402.

Location: 221 Willow St, Yarmouth Port, MA, 02675-1770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851082648
Provider Name
Katie E Ilkovich
Credential
Provider Entity Type
Individual
Gender
Female
Address
221 Willow St, Yarmouth Port, MA, 02675-1770
Phone Number
508-771-2402
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
221 Willow St
City
Yarmouth Port
State
Massachusetts
Zip
02675-1770
Phone Number
508-771-2402
Fax Number
person
Provider Business Mailing Address Details
Address
221 Willow St
City
Yarmouth Port
State
Massachusetts
Zip
02675-1770
Phone Number
508-771-2402
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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