Individual
CAROL ANNE HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
15 AMESBURY ST, WEST ROXBURY, MA 02132-4209
(203) 461-0840
Mailing address
15 AMESBURY ST, WEST ROXBURY, MA 02132-4209
(203) 461-0840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PENDING
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2997
LICENSED CLINICAL SOCIAL WORKER
CT
Enumeration date
05/14/2019
Last updated
05/14/2019
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