Individual
TAMARA NICOLE ELLERBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 RIVERSIDE AVE, BROCKTON, MA 02301-6898
(774) 428-6157
Mailing address
19 RIVERSIDE AVE, BROCKTON, MA 02301-6898
(774) 428-6157
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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