Individual
MS. AMY ELISABETH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 267-6187
Mailing address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 267-6187
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
72076953
NY
1041C0700X
Clinical Social Worker
Primary
117896
MA
Other
Enumeration date
01/20/2009
Last updated
05/29/2014
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