Individual
CAROLINE CLARA HEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 CONDOR ST, BOSTON, MA 02128-1305
(617) 569-6560
Mailing address
58 DUDLEY AVE, WHITINSVILLE, MA 01588-1506
(937) 654-0741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
221788
MA
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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