Individual
MS. ANN JENSEN TAIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.; L.M.F.T.
Contact information
Practice address
425 PLEASANT ST, BROCKTON, MA 02301-2533
(781) 385-0549
Mailing address
12 HIGH STREET, HINGHAM, MA 02043
(781) 385-0549
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1552
MA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/06/2012
Last updated
07/21/2022
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