Individual
MRS. DIANA GOUVEIA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
21 GLEN AVE, SUITE 3, CHELMSFORD, MA 01824-2858
(978) 256-0667
Mailing address
41 LANCASTER DR, TEWKSBURY, MA 01876-1322
(978) 851-7057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114804
MA
Other
Enumeration date
06/22/2006
Last updated
05/17/2011
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