Provider Demographics
NPI:1770769333
Name:FRANJUL, KENIA (LICSW)
Entity type:Individual
Prefix:
First Name:KENIA
Middle Name:
Last Name:FRANJUL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MANNING ST APT 24B
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-1042
Mailing Address - Country:US
Mailing Address - Phone:508-481-3611
Mailing Address - Fax:
Practice Address - Street 1:57 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-4326
Practice Address - Country:US
Practice Address - Phone:508-481-3611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA115329104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker