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Individual

CAROL L OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LICSW

Contact information

Practice address
73 RUSSELL RD, HUNTINGTON, MA 01050-9777
(413) 667-2203
Mailing address
43 MAPLE RIDGE RD, FLORENCE, MA 01062-9748
(413) 667-3009

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1016264
MA

Other

Enumeration date
05/30/2012
Last updated
05/30/2012
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