Individual
MS. CAMERON KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
543 NORTH STREET, C/O CHILD & FAMILY SERVICES, NEW BEDFORD, MA 02740
(508) 984-5566
Mailing address
6 SUMMER STREET, NEWTON, MA 02464
(617) 527-3903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1019746
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P20104
BCBS
—
Enumeration date
10/24/2006
Last updated
07/08/2007
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