Individual
CAROL SOLDEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4 S SPOONER ST, PLYMOUTH, MA 02360-4447
(508) 617-0070
Mailing address
362 COURT ST, PLYMOUTH, MA 02360-4397
(508) 617-0070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
115897
MA
1041C0700X
Clinical Social Worker
115897
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046002284
—
MA
Enumeration date
03/19/2012
Last updated
01/09/2015
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