Most Relevant Information
Provider Data
| NPI Number: | 1003574401 |
| Provider Name: | JENNA MARIE RENZULLI |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/02/2021 |
| Last Updated: | 12/02/2021 |
Provider Practice Location
150 S HUNTINGTON AVE
BOSTON
MA
021304817
Practice Location Phone/Fax
| Phone: | 6173904872 |
| Fax: |
Provider Mailing Location
150 S HUNTINGTON AVE
BOSTON
MA
021304817
Provider Mailing Phone/Fax
| Phone: | 6173904872 |
| Fax: |