Individual
MR. ALEXANDER MIKLAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 586-6300
Mailing address
237 COLLETTE ST APT 1, NEW BEDFORD, MA 02746-2143
(203) 505-4305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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