Individual
BETHANY LYNN D'AMICO HACKENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
340 MAIN ST, SUITE 818, WORCESTER, MA 01608-1604
(508) 791-4976
Mailing address
340 MAIN ST, SUITE 818, WORCESTER, MA 01608-1604
(508) 791-4976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
03/11/2020
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