Individual
CASEY MARIE PETTIT BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 UNION ST, WATERTOWN, MA 02472-2523
(785) 608-6739
Mailing address
33 UNION ST, WATERTOWN, MA 02472-2523
(785) 608-6739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
121214
MA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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