Individual
LANISE SOFIA MIRANDA- ALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 HUNTINGTON ST, BROCKTON, MA 02301-2896
(508) 656-7180
Mailing address
74 HUNTINGTON ST, BROCKTON, MA 02301-2896
(508) 656-7180
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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