Individual
CAROLE GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
165 QUINCY ST, BROCKTON, MA 02302-2988
(508) 897-2116
Mailing address
18 KENDALL RD, LEXINGTON, MA 02421-7143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
204104
MA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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