Individual
ALICIA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 WEST CHESTNUT STREET, BROCKTON, MA 02301
(508) 580-4691
Mailing address
109 HOWLAND ROAD, STOUGHTON, MA 02072
(617) 462-1745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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