Individual
DEREK DANA PAZOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LICSW1121478
MA
Other
Enumeration date
01/10/2020
Last updated
11/14/2025
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