Individual
CARLA ANTONELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
354 WAVERLY ST, FRAMINGHAM, MA 01702-7079
(508) 872-3333
Mailing address
107 JONES RD, HOPEDALE, MA 01747-1137
(508) 254-5663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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