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Individual

REBECCA MATCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 638-6006
Mailing address
20 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 638-6006

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2264485
MA

Other

Enumeration date
08/11/2015
Last updated
01/04/2017
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