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Individual

JENNA R MORGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
415 NEPONSET AVE STE 3, DORCHESTER, MA 02122-3169
(857) 217-3700
Mailing address
1850 COMMONWEALTH AVE APT 24, BRIGHTON, MA 02135-6026
(617) 462-4789

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
983352712
BLUE CROSS
MA
Enumeration date
02/05/2020
Last updated
02/05/2020
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