Individual
MS. CAROLE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
324 MAIN ST, NORTH READING, MA 01864-1329
(978) 664-2566
(978) 664-8023
Mailing address
15 SUNNYBANK RD, WATERTOWN, MA 02472-1325
(617) 924-4073
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1583
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004064
VALUE OPTIONS
MA
01
—
043114833-07
PACIFICARE BEHAVIORAL HEA
MA
01
—
2131778
CIGNA BEHAVIORAL HEALTH
MA
01
—
461288
TUFTS HEALTH PLAN
MA
01
—
LM0893
MEDEX
MA
Enumeration date
11/13/2006
Last updated
07/08/2007
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