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Individual

CAMILLE FENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
714 METROPOLITAN AVE, APT 1, HYDE PARK, MA 02136-3108
(857) 248-0518
Mailing address
714 METROPOLITAN AVE, APT 1, HYDE PARK, MA 02136-3108
(857) 248-0518

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/15/2016
Last updated
04/15/2016
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