Individual
MRS. CAROLYN ROXANNE LACARESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 732-7419
Mailing address
1163 ELM ST, 3R, WEST SPRINGFIELD, MA 01089-1545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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