Individual
MISS BERLINE ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 HOVENDON AVE, BROCKTON, MA 02302-1303
(508) 857-2157
Mailing address
339 HOVENDON AVE, BROCKTON, MA 02302-1303
(508) 857-2157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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