Individual
BEVERLY J CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
75 GRANITE ST, NEW LONDON, CT 06320-5730
(860) 437-4550
Mailing address
121 LAFAYETTE ST, NORWICH, CT 06360-2716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005345
CT
Other
Enumeration date
04/20/2007
Last updated
04/10/2008
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