Individual
MS. NANCY LAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 PLEASANT ST, BROCKTON, MA 02301-2533
(508) 584-5400
Mailing address
PO BOX 552, BROCKTON, MA 02303-0552
(774) 776-5561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2319
MA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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