SHANNON JANE HENDRICKSON

MEDFORD, MA
NPI1073649919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: MA  110897)
Enumeration Date2007-02-26
Last Update Date2009-10-05
Business Address
-- SHANNON JANE HENDRICKSON PMHCNS,BC
151 MYSTIC AVE
MEDFORD, MA 02155-4632
Phone number: 781-396-1199
Mailing Address
-- SHANNON JANE HENDRICKSON PMHCNS,BC
151 MYSTIC AVE
MEDFORD, MA 02155-4632
Phone number: 781-396-1199