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1396396305
ALFONSO MACK HENDERSON
NEWTON, MA
NPI
1396396305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 128637)
Enumeration Date
2019-09-23
Last Update Date
2025-03-13
Business Address
Mr. ALFONSO MACK HENDERSON
199 WELLS AVE
NEWTON, MA 02459-3325
Phone number: 774-766-8780
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Mailing Address
Mr. ALFONSO MACK HENDERSON
1612 WORCESTER RD APT 618A
FRAMINGHAM, MA 01702-5480
Phone number: 309-660-0134
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