Individual
MAUREEN PONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 CHERRY ST, BROCKTON, MA 02301-2608
(508) 580-0801
Mailing address
56 CHERRY ST, BROCKTON, MA 02301-2608
(508) 580-0801
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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