Individual
KENYETTA THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 KAHLER AVE, MILTON, MA 02186-1537
(617) 680-3424
Mailing address
25 KAHLER AVE, MILTON, MA 02186-1537
(617) 680-3424
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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