Individual
CAROLYN GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 847-1950
(617) 774-1490
Mailing address
829 MAIN ST, HANSON, MA 02341-1928
(393) 236-1401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
126510
MA
Other
Enumeration date
05/22/2013
Last updated
05/27/2023
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