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1376034223
KSENIYA NATURINA FENNER
SOMERVILLE, MA
NPI
1376034223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MA 76873-SP-SL)
Enumeration Date
2018-05-27
Last Update Date
2018-05-27
Business Address
KSENIYA NATURINA FENNER CCC-SLP
5 MIDDLESEX AVE
SOMERVILLE, MA 02145-1102
Phone number: 617-591-4657
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Mailing Address
KSENIYA NATURINA FENNER CCC-SLP
5 MIDDLESEX AVE
SOMERVILLE, MA 02145-1102
Phone number:
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