Individual
MRS. KIMBERLY KELLY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED.
Contact information
Practice address
500 VICTORY RD, STEP ONE/ SOUTH SHORE MENTAL HEALTH, QUINCY, MA 02171-3139
(617) 774-1054
Mailing address
41 WILL DR, UNIT 23, CANTON, MA 02021-3743
(781) 710-0303
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2007
Last updated
12/01/2007
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