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Individual

MS. SARAH RUTH THOENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105 VICTORY RD, DORCHESTER, MA 02122-3518
(617) 371-3010
Mailing address
10 FAXON AVE, APT 1002, QUINCY, MA 02169-4682
(617) 371-3010

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/01/2007
Last updated
12/19/2007
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