MARTIN KENNETH DERUSHA

QUINCY, MA
NPI1285969626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-10-02
Last Update Date2009-10-02
Business Address
-- MARTIN KENNETH DERUSHA M.A.
460 QUINCY AVE
QUINCY, MA 02169-8130
Phone number: 617-847-1980
Mailing Address
-- MARTIN KENNETH DERUSHA M.A.
460 QUINCY AVE
QUINCY, MA 02169-8130
Phone number: 617-847-1980
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