Individual
CAROL ELISABETH BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GEORGE RYDER RD S, CHATHAM, MA 02633-1626
(215) 514-6690
Mailing address
100 GEORGE RYDER RD S, CHATHAM, MA 02633-1626
(215) 514-6690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119284
MA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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