Individual
MRS. CAROLYN BOYD FLEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
111 OLD ROAD TO 9 ACRE COR, COMMUNITY AGENCIES BLDG., CONCORD, MA 01742-4141
(978) 369-1113
(978) 369-0908
Mailing address
39 YORK ST, LEXINGTON, MA 02420-2008
(781) 862-1535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100220
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321840
TRICARE
MA
01
—
P10320
BCBS
MA
Enumeration date
02/07/2007
Last updated
07/08/2007
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