Organization
COMMUNITY HEALTH LINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETTLY BENOIT MA., MFT (CLINICIAN)
(508) 791-3261
Entity
Organization
Contact information
Practice address
275 BELMONT ST, WORCESTER, MA 01604-1675
(508) 791-3261
Mailing address
275 BELMONT ST, WORCESTER, MA 01604-1675
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
09/20/2007
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