Individual
MS. CAROLYN MAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1234 BROADWAY, SOMERVILLE, MA 02144-1703
(617) 584-3880
Mailing address
81 CUSHING AVE, BELMONT, MA 02478-2729
(617) 584-3880
(617) 484-9301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1019393
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1859897
—
MA
Enumeration date
11/15/2006
Last updated
07/09/2007
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