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Individual

ANGIE POWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-3411
(774) 826-3144
Mailing address
940 BELMONT STREET, BROCKTON, MA 02301
(774) 826-3411
(774) 826-3144

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2278813
MA

Other

Enumeration date
09/02/2014
Last updated
07/18/2015
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