BENJAMIN BAKER STAINES

NORTHBOROUGH, MA
NPI1548543978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  119392)
Enumeration Date2011-09-22
Last Update Date2016-03-16
Business Address
-- BENJAMIN BAKER STAINES LICSW
300 W MAIN ST BUILDING B
NORTHBOROUGH, MA 01532-2132
Phone number: 978-310-1041
Mailing Address
-- BENJAMIN BAKER STAINES LICSW
68 BENNETT ST
HUDSON, MA 01749
Phone number: 978-310-1041