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NPI Code Detail

MEDICARE: MR. PAUL J CAREY MSW

MEDICARE: MR. PAUL J CAREY MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker100305MA

General Provider Information

NPI Number : 1144500539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL J CAREY MSW
Provider Business Mailing Address
First Line : 328 MAIN ST
Second Line :
City : SOUTHBRIDGE
State : MA
Zip : 01550-3794
Country : US
Telephone Number : 508-765-9101
Fax Number : 508-764-4389
Provider Business Practice Location Address
First Line : 328 MAIN ST
Second Line :
City : SOUTHBRIDGE
State : MA
Zip : 01550-3794
Country : US
Telephone Number : 508-765-9101
Fax Number : 508-764-4389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2011
Last Update Date : 08/17/2011

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Directions to “ MR. PAUL J CAREY MSW” Practice Location

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