Ciccolo, Laura

Ciccolo, Laura is an sole proprietor health care provider with primary practice located at 532 Page St , Stoughton MA 02072-6003. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ciccolo, Laura can be contacted via phone (508) 960-1263.

Contact Information

Primary practice address
532 Page St Stoughton MA 02072-6003
Phone: (508) 960-1263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Massachusetts
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1972272391
LBN Legal business name Ciccolo, Laura
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2021
Last updated Mar 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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