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Individual

CARLA ANN KENNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
57 BARTON RD, STOW, MA 01775-1530
(781) 775-1127
(978) 567-8703
Mailing address
PO BOX 1130, BERLIN, MA 01503-2130
(781) 775-1127

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6503
MA

Other

Enumeration date
08/31/2009
Last updated
08/31/2009
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