Individual
MISS NICOLE FRANCES CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 CROWN COLONY DR STE 202, QUINCY, MA 02169-0902
(617) 626-2523
Mailing address
800 WEST ST UNIT 2410, BRAINTREE, MA 02184-3868
(774) 249-8172
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11479
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2020
Last updated
07/14/2021
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