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Individual

CAROL TENNANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
99 SUMMER ST, KINGSTON, MA 02364-1409
(617) 548-0476
Mailing address
99 SUMMER ST, KINGSTON, MA 02364-1409
(617) 548-0476

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
09/27/2014
Last updated
09/27/2014
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