Individual
JANIFER VIEIRA DE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(617) 309-7011
Mailing address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(617) 309-7011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
222Q00000X
Developmental Therapist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
05/26/2017
Last updated
04/14/2026
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