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Ms. Jennifer C Carroll, LICSW
Mental Health Counselor in Mansfield, Massachusetts
NPI 1144404286

Jennifer C Carroll is a Mental Health Counselor based in Mansfield, MA and is specialized in Mental Health. Jennifer C Carroll practices in Mansfield, MA and has the professional credentials of LICSW. The NPI Number for Jennifer C Carroll is 1144404286 and holds a License No. 1024944 (Massachusetts).

The current practice location address for Jennifer C Carroll is 129 North Main St, Mansfield, MA and can be reached out via phone at 508-261-2888.

Location: 129 North Main St, Mansfield, MA, 02048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144404286
Provider Name
Jennifer C Carroll
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
129 North Main St, Mansfield, MA, 02048
Phone Number
508-261-2888
Fax Number
Provider Enumeration Date
12/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P07270 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
129 North Main St
City
Mansfield
State
Massachusetts
Zip
02048
Phone Number
508-261-2888
Fax Number
person
Provider Business Mailing Address Details
Address
129 North Main St
City
Mansfield
State
Massachusetts
Zip
02048
Phone Number
508-261-2888
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1024944 (Massachusetts)
Definition
Definition to come...
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