Individual
COLIN M BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4961
Mailing address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4961
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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