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Individual

CYNTHIA WIGFALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
280 NORTH WARREN AVE. A 6, BROCKTON, MA 02301
(617) 763-1928
Mailing address
280 NORTH WARREN AVE. A 6, BROCKTON, MA 02301
(617) 763-1928

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MA

Other

Enumeration date
06/01/2007
Last updated
10/20/2011
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