Individual
CAROLYN COTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MULBERRY ST, SPRINGFIELD, MA 01105-1433
(413) 348-7905
Mailing address
15 MULBERRY ST, SPRINGFIELD, MA 01105-1433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028111E
—
MA
Enumeration date
10/08/2015
Last updated
10/08/2015
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