Individual
CARLOS G SEMEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
93 MYRTLE ST, BROCKTON, MA 02301-6139
(617) 890-9402
Mailing address
93 MYRTLE ST, BROCKTON, MA 02301-6139
(617) 890-9402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11476
MA
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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