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Organization
RE-UNITED BEHAVIORAL HEALTH SERVICES
Active
Organization
RE-UNITED BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUDGER LABISSIERE LICSW (OWNER)
(617) 678-7492
Entity
Organization
Contact information
Practice address
425 PLEASANT ST, BROCKTON, MA 02301-2533
(617) 678-7492
Mailing address
425 PLEASANT ST, BROCKTON, MA 02301-2533
(617) 678-7492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
119810
MA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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