Individual
THEA CHAFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(401) 330-7010
Mailing address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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