Individual
KENNA LYN VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLUMBIA AVE, FITCHBURG, MA 01420-7042
(508) 740-1440
Mailing address
111 COLUMBIA AVE, FITCHBURG, MA 01420-7042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/13/2018
Last updated
06/14/2022
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