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Individual

CAROL M MAURO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
181 HOWARD HILL RD, FOSTER, RI 02825-1226
(401) 392-9208
Mailing address
59A BALCOM RD, FOSTER, RI 02825-1324

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106737
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05-6000153
FEDERAL
Enumeration date
07/18/2018
Last updated
07/18/2018
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