MR. Nathan Robert Carlisle, MSW

NPI #1194904425 in Brockton, Massachusetts

Provider Information

NPI Number: 1194904425
Entity Type: Individual
Name: MR. Nathan Robert Carlisle, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Nov 2, 2007
Last Updated: Nov 2, 2007

Practice Location

Address: 37 BELMONT ST
City: Brockton
State: Massachusetts
ZIP Code: 02301-5299
Phone: (508) 580-4691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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