Individual
MR. CARL ANTHONY AVENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LICSW
Contact information
Practice address
940 BELMONT ST, WARD 2-3-C, BROCKTON, MA 02301-5596
(774) 826-1347
(774) 826-3158
Mailing address
89 MANNERS AVE, BROCKTON, MA 02301-1420
(508) 584-4734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MA 100612
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100612
STATE SOCIAL WORK LICENSE
MA
Enumeration date
08/18/2006
Last updated
07/08/2007
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