Individual
KIANESHA D DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 COLLINS ST, HYDE PARK, MA 02136-2255
(781) 864-1787
Mailing address
49 COLLINS ST, HYDE PARK, MA 02136-2255
(781) 864-1787
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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