Individual
MICHELLE CARLA LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST STE 101, BROCKTON, MA 02301-7501
(508) 521-2287
Mailing address
1115 WEST CHESTNUT STREET STE. 101, BROCKTON, MA 02301
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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