Individual
MR. DAVID M COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 WILSON ST, BROCKTON, MA 02301-5859
(774) 259-1903
Mailing address
79 WILSON ST, BROCKTON, MA 02301-5859
(774) 259-1903
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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