Individual
MR. DAVID FITZGERALD PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC-1
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Mailing address
33 MARSHALLS CORNER RD, BROCKTON, MA 02301-4442
(508) 578-3108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1158
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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