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Individual

ANN MARIE KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STUDENT

Contact information

Practice address
33 WHITMAN ST, 1R, DORCHESTER, MA 02124-4428
(312) 279-2873
(617) 516-0281
Mailing address
33 WHITMAN ST APT 1R, DORCHESTER, MA 02124-4428
(321) 279-2873
(617) 516-0281

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/03/2014
Last updated
02/03/2014
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