Individual
CHARLES CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
98 N FRONT ST, NEW BEDFORD, MA 02740-7327
(508) 264-2011
Mailing address
98 NORTH FRONT STREET, NEW BEDFORD, MA 02740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1019520
MA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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