Individual
MS. ANN ELIZABETH CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
151 MYSTIC AVE, MEDFORD, MA 02155-4632
(781) 396-1199
(781) 396-1439
Mailing address
5 MORTON TER, MILTON, MA 02186-3003
(617) 696-3927
(781) 396-1439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107124
MA
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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