Individual
TABITHA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BATTLES ST, BROCKTON, MA 02301-2231
(339) 216-2862
Mailing address
300 BATTLES ST, BROCKTON, MA 02301-2231
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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