Individual
REGINALD VIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSWA
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
413608
MA
Other
Enumeration date
08/27/2010
Last updated
09/18/2018
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