Individual
MS. CAROLINE DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
463 SWANSEA MALL DR, SWANSEA, MA 02777-4119
(617) 694-9796
Mailing address
36 ARNOLD ST, UNIT 2, PROVIDENCE, RI 02906-1035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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