Kianesha D Dennis

NPI #1578857348 in Hyde Park, Massachusetts

Provider Information

NPI Number: 1578857348
Entity Type: Individual
Name: Kianesha D Dennis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 8, 2011
Last Updated: Jun 8, 2011

Practice Location

Address: 49 COLLINS ST
City: Hyde Park
State: Massachusetts
ZIP Code: 02136-2255
Phone: (781) 864-1787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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