Carol Ly
NPI #1568975589 in Roxbury, Massachusetts
Provider Information
- NPI Number
- 1568975589
- Entity Type
- Individual
- Name
- Carol Ly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 13, 2017
- Last Updated
- Nov 13, 2017
Practice Location
- Address
- 2747 WASHINGTON ST APT 2
- City
- Roxbury
- State
- Massachusetts
- ZIP Code
- 02119-1405
- Phone
- (203) 545-6226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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