Individual
JENNIFER L HENEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
200 SPRINGS RD, MENTAL HEALTH CLINIC, ROOM 218, BEDFORD, MA 01730-1114
(781) 687-2715
Mailing address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110474
MA
Other
Enumeration date
10/25/2006
Last updated
04/13/2017
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