Individual
CHRISTINE BOISVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
140 SCHOOL ST, BROCKTON, MA 02302-3114
(508) 427-6448
Mailing address
140 SCHOOL ST, BROCKTON, MA 02302-3114
(508) 427-6448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
217179
MA
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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