Doctor Name: | MS. CAROLYN FARWELL MCQUEEN |
NPI Number: | 1275738189 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 104550 |
Business Practice Address: | 88 Concord Rd Sudbury, MA - 017762331 |
Business Phone Number: | 9784437269 |
Business Fax Number: | |
Mailing Address: | 88 Concord Rd, SUDBURY |
State: | MA |
Postal Code: | 017762331 |
Phone Number: | 9784437269 |
Fax Number: | 9784430001 |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 104550 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |