Organization
COMMONWEALTH CARE
Active
Other names
Commonwealth Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL MILLER J.D., LCSW (OWNER)
(703) 869-3806
Entity
Organization
Contact information
Practice address
87 WINTHROP MAIL CTR, CAMBRIDGE, MA 02138-7531
(703) 869-3806
Mailing address
87 WINTHROP MAIL CTR, CAMBRIDGE, MA 02138-7531
(703) 869-3806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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