Individual
DEIRDRE ELAINE WISE-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 586-6300
Mailing address
995 HYDE PARK AVE, APT # 1, HYDE PARK, MA 02136-3161
(617) 331-4169
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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