Brian Hennigan LICSW

NPI 1053398081 - Social Worker - 1041C0700X

NPI Details
NPI 1053398081
Gender Male
Enumeration Date 12/30/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
250 MOUNT VERNON ST
DORCHESTER MA, 02125-3120, US
Phone (617) 288-1140
Fax (617) 288-3910
Business Location
57 RICHWOOD ST
WEST ROXBURY MA, 02132-2525, US
Phone (617) 325-7845
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 1016997
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According to our database, Brian Hennigan LICSW NPI is 1053398081, taxonomy code is 1041C0700X and license number is 1016997, license state is located at Massachusetts. Brian Hennigan LICSW physically located at 250 Mount Vernon St, Dorchester MA, 02125-3120. NPI Number Brian Hennigan LICSW has the Individual type.

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1053398081 NPI number is provided on an as is basis without warranty of any kind. 1053398081 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Hennigan LICSW are for informational purposes only.