Individual
EMILY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 BOSTON ST, SALEM, MA 01970-1402
(774) 245-2990
Mailing address
22 GRAND VIEW AVE, SOMERVILLE, MA 02143-1812
(774) 245-2990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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