Individual
MISS AVA FARWELL KAHN-MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(413) 687-4504
Mailing address
140 BLACKSTONE ST, UXBRIDGE, MA 01569-1922
(857) 301-8535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2011
Last updated
05/28/2020
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