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Individual

CARLA JOHNSON SOUERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
35 VALLEY RD, SOUTHBOROUGH, MA 01772-1306
(508) 485-0110
Mailing address
35 VALLEY RD, SOUTHBOROUGH, MA 01772-1306
(508) 485-0110

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101918
MA

Other

Enumeration date
08/21/2018
Last updated
08/21/2018
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