Individual
CAROLYN COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 OSGOOD ST, ANDOVER, MA 01810-5411
(978) 475-3806
(978) 475-6288
Mailing address
62 SAUNDERS ST APT 3, NORTH ANDOVER, MA 01845-2414
(978) 578-0170
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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