Individual
CAROLYN DILARA BRISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 BOSTON ST, SALEM, MA 01970-1402
(978) 744-7905
Mailing address
130 ESSEX ST # 25A, SOUTH HAMILTON, MA 01982-2325
(843) 814-2056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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