Individual
CAROL SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5525
(617) 876-0369
(617) 876-6432
Mailing address
89 WASHINGTON AVE, CAMBRIDGE, MA 02140-2716
(617) 519-0051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120898
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120898
BOARD OF REGISTRATION OF SOCIAL WORKERS
MA
Enumeration date
07/30/2018
Last updated
07/30/2018
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