Individual
CHARLENE BYRNES-CLOCKEDILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
29 PINE ST, SOUTHBRIDGE, MA 01550-1823
(508) 765-9167
(508) 764-2462
Mailing address
29 PINE ST, SOUTHBRIDGE, MA 01550-1823
(508) 765-9167
(508) 764-2462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1020286
MA
1041C0700X
Clinical Social Worker
Primary
LICSW1020286
MA
Other
Enumeration date
11/03/2008
Last updated
08/14/2024
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