Individual
MRS. REGINA MARIE KERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
SOUTH SHORE MENTAL HEALTH CENTER, 500 VICTORY ROAD, QUINCY, MA 02171-4238
(617) 847-1950
(617) 774-1490
Mailing address
39 PILLON ROAD, MILTON, MA 02186-4238
(617) 698-2755
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105785
MA
Other
Enumeration date
09/25/2006
Last updated
12/02/2008
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