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Individual

MS. CAROL E KOLEK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
19 COUNTY RD, MATTAPOISETTE, MA 02739
(508) 758-3754
(508) 758-3755
Mailing address
PO BOX 71, MATTAPOISETT, MA 02739-0071
(508) 758-3757
(508) 758-3755

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102069
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005624
VALUE OPTIONS
01
007162
TRICARE
01
102069
LICSW BD OF SW REGISTER
MA
01
102069
TUFTS HEALTH CARE
01
1041586
CIGNA BEHAVORIAL HEALTH
01
1857533
MBHP
MA
05
1858114
MA
01
212096
MHN
01
213864
BCBS
RI
01
26653
MBC HEALTH NET
MA
01
5856653
AETNA BEHAVORIAL HEALTH
01
6251547
UNITED BEHAVORIAL HEALTH
01
P06133
BCBS MA
MA
Enumeration date
01/12/2006
Last updated
07/08/2007
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