Individual
BIANCA ABIGAIL LASCASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 ECHO ST, BROCKTON, MA 02301-6511
(774) 360-0591
Mailing address
69 ECHO ST, BROCKTON, MA 02301-6511
(774) 360-0591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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