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Individual

CARRIE DYBALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
10 ALPHABET LN, WESTON, MA 02493-2555
(781) 786-5300
Mailing address
10 ALPHABET LN, WESTON, MA 02493-2555
(781) 786-5308

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
111574
MA
1041S0200X
School Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
09/25/2018
Last updated
10/06/2022
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