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Kerry Cavanagh

Counselor in Malden, MA. Individual provider (NPI-1).

NPI number1992280408
StatusActive
Last updated in NPPESOct 1, 2018

Details

NPI
1992280408
Entity type
Individual (NPI-1)
Name
Kerry Cavanagh
Sex
Female
Sole proprietor
No
Enumeration date
Oct 1, 2018
Last updated
Oct 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

22 Pleasant St
Malden, MA 02148-5119

Phone 781-388-7168

Mailing address

254 Saratoga St Unit 2
Boston, MA 02128-1616

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