Healthcare Provider Details

I. General information

NPI: 1851452502
Provider Name (Legal Business Name): KRISTEN ARNOLD MSW LICENSED CLINICA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 04/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 MARKET ST
FOXBORO MA
02035-2328
US

IV. Provider business mailing address

28 MARKET ST
FOXBORO MA
02035-2328
US

V. Phone/Fax

Practice location:
  • Phone: 617-259-8721
  • Fax:
Mailing address:
  • Phone: 617-259-8721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number114610
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: