Individual
KERRY SOPHIE LAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
222 FORBES RD STE 207, BRAINTREE, MA 02184-2720
(781) 990-5310
Mailing address
222 FORBES RD STE 207, BRAINTREE, MA 02184-2720
(781) 990-5310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178020536
IL
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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