Individual
MR. BRANDON EDWARD WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 GREAT OUTLOOK WAY, PLYMOUTH, MA 02360-1812
(508) 224-8041
Mailing address
22 WOODVILLE WAY, WAREHAM, MA 02571-1426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
MA
Other
Enumeration date
04/04/2012
Last updated
04/08/2012
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