Individual
JACQUELYN MAE GRASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS IN PSYCHOLOGY
Contact information
Practice address
140 SCHOOL ST, BROCKTON, MA 02302
(508) 894-4945
(508) 427-6258
Mailing address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
09/11/2018
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