Individual
CAROLINE WALKER LEGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
321 MAIN ST, ACTON, MA 01720-3799
(978) 635-8700
(978) 635-8920
Mailing address
321 MAIN ST, ACTON, MA 01720-3799
(978) 635-8700
(978) 635-8920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1027810
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110031987A
—
MA
01
—
460342
TUFTS HEALTH PLAN
MA
01
—
P07457
BC/BS
MA
01
—
P21085
MEDICARE
MA
Enumeration date
09/15/2006
Last updated
06/17/2020
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