WILLIE ALTON HENRY

BROCKTON, MA
NPI1689079113
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-10-27
Last Update Date2014-10-27
Business Address
Mr. WILLIE ALTON HENRY
180 CENTRE ST
BROCKTON, MA 02302-2733
Phone number: 617-479-0102
Mailing Address
Mr. WILLIE ALTON HENRY
180 CENTRE ST
BROCKTON, MA 02302-2733
Phone number: 617-479-0102
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