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Individual

MS. BRI EIR MCCARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
136 DWIGHT RD, LONGMEADOW, MA 01106-1759
(413) 746-1000
(413) 567-7926
Mailing address
55 CHESTERFIELD AVE, SPRINGFIELD, MA 01118-1315
(413) 746-1000
(413) 567-7926

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111015
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1858611
MA
01
28743
BOSTON HEALTHNET
MA
01
39836
HEALTH NEW ENGLAND
MA
01
407332
MAGELLAN
MA
01
P07947
BCBS
MA
Enumeration date
03/03/2006
Last updated
07/08/2007
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