Individual
REBECCA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 BOYLSTON ST, BOSTON, MA 02116-4608
(617) 457-8140
Mailing address
130 BOYLSTON ST, BOSTON, MA 02116-4608
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW 214020-2
MA
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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