Individual
MRS. CAROL RENAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 689-2536
Mailing address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 689-2536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1017494
MA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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