Individual
MS. CONSTANCE B AHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
22 MOUNT AUBURN ST, WATERTOWN, MA 02472-3992
(617) 489-5052
Mailing address
24 EDWARD ST, BELMONT, MA 02478-2343
(617) 489-5052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111341
MA
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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