MISS Carissa Lynne Surace
NPI #1699119826 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1699119826
- Entity Type
- Individual
- Name
- MISS Carissa Lynne Surace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Apr 18, 2013
- Last Updated
- Apr 18, 2013
Practice Location
- Address
- 50 REDFIELD ST
- Address 2
- SUITE 300
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02122-3630
- Phone
- (617) 288-7450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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