Individual
CARLY MANTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 REDFIELD ST STE 300, DORCHESTER, MA 02122-3653
(857) 337-8439
Mailing address
50 REDFIELD ST STE 300, DORCHESTER, MA 02122-3653
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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