Individual
CARLY ELIZABETH SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
361 PLANTATION ST, WORCESTER, MA 01605-2323
(774) 420-3141
(774) 420-3163
Mailing address
361 PLANTATION ST, WORCESTER, MA 01605-2323
(774) 420-3141
(774) 420-3163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113917
MA
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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