Individual
CARRIE LAM PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
170 BOWKER ST, NORWELL, MA 02061-1243
(617) 777-6633
Mailing address
170 BOWKER ST, NORWELL, MA 02061-1243
(617) 777-6633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119561
MA
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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