Provider Demographics
NPI:1225286438
Name:MCGUANE, CAROLE ANN (MA)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:ANN
Last Name:MCGUANE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LAWRENCE ST
Mailing Address - Street 2:SUITE 322
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1431
Mailing Address - Country:US
Mailing Address - Phone:978-687-1617
Mailing Address - Fax:978-681-1597
Practice Address - Street 1:11 LAWRENCE ST
Practice Address - Street 2:SUITE 322
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1431
Practice Address - Country:US
Practice Address - Phone:978-687-1617
Practice Address - Fax:978-681-1597
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health