Individual
CARYSSA LUMBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1125 CENTRE ST, JAMAICA PLAIN, MA 02130-3495
(978) 870-5108
Mailing address
10 SARGENT AVE APT 2, SOMERVILLE, MA 02145-2914
(978) 870-5108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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