Individual
MRS. JENNIFER ANNE THERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, DS,CEIS
Contact information
Practice address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(508) 747-2012
Mailing address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(508) 747-2012
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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