Individual
AMANDA HAVENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
340 MAPLE ST, MARLBOROUGH, MA 01752-3200
(508) 808-5634
(508) 485-6904
Mailing address
340 MAPLE ST, MARLBOROUGH, MA 01752-3200
(508) 808-5634
(508) 485-6904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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