Individual
DAWNA K JENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
151 MYSTIC AVE, SUITE 6, MEDFORD, MA 02155-4632
(781) 396-1199
(781) 396-1439
Mailing address
151 MYSTIC AVE, SUITE 6, MEDFORD, MA 02155-4632
(781) 396-1199
(781) 396-1439
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
204888
MA
106H00000X
Marriage & Family Therapist
Primary
99
MA
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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