Organization
THE COUNSELING CENTER FOR CHILD DEVELOPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN FITZGERALD LICSW (CLINICAL DIRECTOR)
(781) 393-5151
Entity
Organization
Contact information
Practice address
10 CABOT RD, 101, MEDFORD, MA 02155-5177
(781) 393-5151
Mailing address
10 CABOT RD, 101, MEDFORD, MA 02155-5177
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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