Individual
MISS CARISSA LYNNE SURACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 REDFIELD ST, SUITE 300, DORCHESTER, MA 02122-3630
(617) 288-7450
Mailing address
413 MASSACHUSETTS AVE, APT 1, BOSTON, MA 02118-3525
(541) 953-8155
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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