Individual
MISS CAROLYN PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 VANE ST, REVERE, MA 02151-3459
(857) 615-2969
Mailing address
22 VANE ST, REVERE, MA 02151-3459
(857) 615-2969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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