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Organization
THE COASTAL CENTER FOR DEVELOPING MINDS
Active
Organization
THE COASTAL CENTER FOR DEVELOPING MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHOEBE FULTON TEARE LMHC (PRESIDENT)
(781) 878-3870
Entity
Organization
Contact information
Practice address
133 WASHINGTON ST, NORWELL, MA 02061-1755
(781) 878-3870
Mailing address
133 WASHINGTON ST, NORWELL, MA 02061-1755
(781) 878-3870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4952
MA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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