Individual
MS. DANETTE CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
23 BRADSTON ST, BOSTON, MA 02118-2703
(617) 318-6480
Mailing address
23 BRADSTON ST, BOSTON, MA 02118-2703
(617) 318-6480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/22/2015
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