Individual
MRS. CAROLYN PHYLLIS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
288 BEDFORD ST, WHITMAN, MA 02382-1820
(781) 447-6425
(781) 447-1786
Mailing address
29 NEWTON ST, BROCKTON, MA 02301-5114
(508) 562-3883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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