Individual
MARTINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 CENTER ST, CHICOPEE, MA 01013-1589
(413) 746-0051
(413) 746-0368
Mailing address
12 SEYMOUR RD, WINDSOR LOCKS, CT 06096-1426
(860) 477-7153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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