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Carolyn Yedwab, LICSW

Social Worker, Clinical in Brookline, MA. Individual provider (NPI-1).

NPI number1508201088
StatusActive
Last updated in NPPESMay 9, 2013

Details

NPI
1508201088
Entity type
Individual (NPI-1)
Name
Ms. Carolyn Yedwab
Credential
LICSW
Sex
Female
Sole proprietor
Yes
Enumeration date
May 9, 2013
Last updated
May 9, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical117501MAYes
1041C0700X Social Worker, Clinical072557-1NY

Practice location

1093 Beacon St
Suite 404
Brookline, MA 02446-5695

Phone 201-838-4108

Mailing address

7 Cattail Ln
Sharon, MA 02067-2481

Phone 201-838-4108

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