Individual
JENNYFER DESTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
859 WILLARD STREET, QUINCY, MA 02170
(617) 847-1950
(617) 774-1490
Mailing address
109 OAK ST STE G30, NEWTON UPPER FALLS, MA 02464-1492
(617) 658-6522
(617) 774-1490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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