Individual
CAROLYN S SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
794 MASSACHUSETTS AVE, BOSTON, MA 02118-2319
(617) 534-7100
Mailing address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 419-3409
(617) 534-2611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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