Individual
MARTIN HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 GALEN ST, WATERTOWN, MA 02472-4507
(501) 412-3066
Mailing address
123 GALEN ST, WATERTOWN, MA 02472-4507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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