Individual
DOROTHY DENENE DEROSA-THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC II
Contact information
Practice address
180 CENTRE ST, BROCKTON, MA 02302-2733
(781) 812-5712
(781) 812-5512
Mailing address
180 CENTRE ST, BROCKTON, MA 02302-2733
(781) 812-5812
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20802
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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