Individual
MR. SYLVESTER PEREIRA FORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
20 HOPE ST, BROCKTON, MA 02302-3415
(508) 587-8105
Mailing address
20 HOPE ST, BROCKTON, MA 02302-3415
(508) 587-8105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
703
MA
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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