Ellen Henline, LICSW

NPI #1679052427 in Maynard, Massachusetts

Provider Information

NPI Number: 1679052427
Entity Type: Individual
Name: Ellen Henline, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Aug 13, 2018
Last Updated: Aug 13, 2018

Practice Location

Address: 14 GARFIELD ST
City: Maynard
State: Massachusetts
ZIP Code: 01754-1850
Phone: (781) 258-0869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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