Individual
KYLIE MINUSKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 BOUTEMAIN AVE, PLYMOUTH, MA 02360-3450
(508) 648-7382
Mailing address
8 BOUTEMAIN AVE, PLYMOUTH, MA 02360-3450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LEP5000767
MA
Other
Enumeration date
04/11/2023
Last updated
01/24/2025
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