Individual
MS. CAROLINE ALICIA BIXBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 GRANBY ST, SPRINGFIELD, MA 01108
(413) 523-3522
Mailing address
95 GRANBY ST, SPRINGFIELD, MA 01108-2825
(413) 523-3522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
119813
MA
Other
Enumeration date
07/19/2012
Last updated
08/28/2018
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