Individual
CIARA I MONTEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 LINWOOD ST, BROCKTON, MA 02301-5627
(508) 562-1262
Mailing address
139 LINWOOD ST, BROCKTON, MA 02301-5627
(508) 562-1262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6748300048873772239
—
MA
Enumeration date
04/05/2020
Last updated
04/05/2020
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