Individual
SUSAN KORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 COMMERCIAL ST, BROCKTON, MA 02302-3101
(508) 521-1020
(508) 521-1030
Mailing address
103 COMMERCIAL ST, BROCKTON, MA 02302-3101
(508) 521-1020
(508) 521-1030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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