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1740618099
KRISTYN KERIVAN
BROCKTON, MA
NPI
1740618099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-24
Last Update Date
2013-10-24
Business Address
-- KRISTYN KERIVAN
20 MEADOWBROOK RD
BROCKTON, MA 02301-7122
Phone number: 508-638-6000
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Mailing Address
-- KRISTYN KERIVAN
15 SURFSIDE W
DUXBURY, MA 02332-5217
Phone number: 339-236-5026
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