Individual
MS. JACLYN SUSANNE KINSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAGS, LEP
Contact information
Practice address
83 HERRICK ST, SUITE 2005, BEVERLY, MA 01915-2757
(978) 778-0703
Mailing address
83 HERRICK ST, SUITE 2005, BEVERLY, MA 01915-2757
(978) 778-0703
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1025
MA
Other
Enumeration date
10/18/2015
Last updated
10/18/2015
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