Kelley R Hendricken LICSW

NPI 1184725855 - Social Worker - 1041C0700X

NPI Details
NPI 1184725855
Gender Female
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
340 MAIN ST
WORCESTER MA, 01608-1604, US
Phone (508) 791-4976
Fax (508) 791-6723
Business Location
20A GATES RD
WORCESTER MA, 01603-1839, US
Phone (774) 239-4161
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 111101
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According to our database, Ms. Kelley R Hendricken LICSW NPI is 1184725855, taxonomy code is 1041C0700X and license number is 111101, license state is located at Massachusetts. Kelley R Hendricken LICSW physically located at 340 Main St, Worcester MA, 01608-1604. NPI Number Kelley R Hendricken LICSW has the Individual type.

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1184725855 NPI number is provided on an as is basis without warranty of any kind. 1184725855 is maintained by the National Plan & Provider Enumeration System. The contents of Kelley R Hendricken LICSW are for informational purposes only.