Individual
CAROLYN HANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW-MA
Contact information
Practice address
262 MAIN ST APT 1, WATERTOWN, MA 02472-4308
(781) 290-8377
Mailing address
PO BOX 590081, NEWTON CENTRE, MA 02459-0001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116413
MA
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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