Individual
KATHLEEN ROSE DERRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
Mailing address
103 COMMERCIAL ST, BROCKTON, MA 02302-3133
(508) 203-7204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MA
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/25/2020
Last updated
05/12/2026
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