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Individual

DR. CAROLYN NIKKAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EDD

Contact information

Practice address
14 GAY HEAD STREET, JAMAICA PLAIN, MA 02130-1219
(617) 983-8299
Mailing address
14 GAY HEAD STREET, JAMAICA PLAIN, MA 02130-1219

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3749
MA

Other

Enumeration date
08/10/2007
Last updated
08/10/2007
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