Individual
MS. KATHY ANNE HEFFERNAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 STEPHEN TER, LYNN, MA 01902-2419
(978) 304-6210
Mailing address
16 STEPHEN TER, LYNN, MA 01902-2419
(978) 304-6210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
03/16/2010
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