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Individual

JAMAAL C HEDRINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1183 MAIN ST, WORCESTER, MA 01603-2012
(832) 594-0449
Mailing address
PO BOX 1264, SOUTH LANCASTER, MA 01561-1264
(832) 594-0449

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2274452
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2274452
MA

Other

Enumeration date
02/01/2018
Last updated
01/14/2019
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