Individual
LISA BRODEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 BEAUCHAMP TER, CHICOPEE, MA 01020-4101
(413) 592-4277
Mailing address
169 BEAUCHAMP TER, CHICOPEE, MA 01020-4101
(413) 592-4277
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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