Individual
COLLEEN MARIE CICCARELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
574 MAIN ST, WEYMOUTH, MA 02190-1818
(781) 331-2533
Mailing address
34 DUNSTER RD, SUDBURY, MA 01776-1366
(508) 864-4610
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1026
MA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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