Individual
MRS. PAULA YVONNE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
72 E DEDHAM ST, BOSTON, MA 02118-2315
(617) 292-9200
Mailing address
4 BLACK ELK RD, SHARON, MA 02067-2886
(781) 793-7834
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
115509
MA
Other
Enumeration date
02/06/2010
Last updated
02/06/2010
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