Individual
MISS DAPHNEY KASSIANA KERSAINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
541 MAIN ST, WEYMOUTH, MA 02190-1868
(781) 331-7866
Mailing address
5 KENNEDY DR, RANDOLPH, MA 02368-3821
(857) 654-0752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S79998791
MA
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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