Individual
MRS. MARY S. KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
16 FAYETTE ST, CAMBRIDGE, MA 02139-1112
(617) 497-9506
Mailing address
16 FAYETTE ST, CAMBRIDGE, MA 02139-1112
(617) 497-9506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1022282
MA
106H00000X
Marriage & Family Therapist
Primary
527
MA
Other
Enumeration date
03/01/2007
Last updated
09/24/2008
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