Individual provider · Type 1 NPI

Mary Theresa Carpenter, LSW, MA, MA

Professional Counselor · Worcester, MA

NPI number 1003954587 Active

Practice location

250 Commercial St
Worcester, MA 01608-1726

Call (508) 752-4665 Map

Fax (508) 752-0947

Mailing address

148 Fairhaven Rd
Worcester, MA 01606-3140

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X310405 (MA)

Professional Counselor: Definition to come...

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About NPI 1003954587

Mary Theresa Carpenter, LSW, MA, MA's National Provider Identifier is 1003954587, issued on Feb 5, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Worcester, MA. The record was last updated on Jun 27, 2011.