Individual
MRS. PHYLLIS M KIZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CASTLE CIR, PEABODY, MA 01960-4026
(978) 532-4969
(978) 531-2186
Mailing address
11 CASTLE CIR, PEABODY, MA 01960-4026
(978) 532-4969
(978) 531-2186
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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