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Individual

KIM PAQUIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DS

Contact information

Practice address
1800 COLUMBUS AVE, ROXBURY, MA 02119
(617) 442-8800
Mailing address
1800 COLUMBUS AVE, ROXBURY, MA 02119-1042

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/26/2010
Last updated
05/26/2010
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