Provider Demographics
NPI:1508349267
Name:GARRIGAN, KAREN BOND (LICSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:BOND
Last Name:GARRIGAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 INDUSTRIAL AVE E
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-5112
Mailing Address - Country:US
Mailing Address - Phone:978-453-4663
Mailing Address - Fax:
Practice Address - Street 1:150 INDUSTRIAL AVE E
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-5112
Practice Address - Country:US
Practice Address - Phone:978-453-4663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1106571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical