Individual
MRS. MARY THERESA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, MA , MA
Contact information
Practice address
250 COMMERCIAL ST, WORCESTER, MA 01608-1726
(508) 752-4665
(508) 752-0947
Mailing address
148 FAIRHAVEN RD, WORCESTER, MA 01606-3140
(508) 735-9555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
310405
MA
Other
Enumeration date
02/05/2007
Last updated
06/27/2011
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