Individual
MARTIN CAROLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 MILES RD, RUTLAND, MA 01543-1423
(508) 886-4746
(508) 886-2274
Mailing address
60 MILES RD, RUTLAND, MA 01543-1423
(508) 886-4746
(508) 886-2274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11415702
MA
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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