Individual
KENA MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1800 COLUMBUS AVE, DIMOCK EARLY INTERVENTION PROGRAM, ROXBURY, MA 02119-1042
(617) 442-8800
Mailing address
49 MONTFERN AVE, BRIGHTON, MA 02135-2514
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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