Individual
DABERNY ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(857) 251-0962
Mailing address
88 NILSSON ST # 1, BROCKTON, MA 02301-6472
(857) 251-0962
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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