Individual
CARVENS MARCELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
89 DOVER ST, BROCKTON, MA 02301-5940
(508) 933-1385
Mailing address
89 DOVER ST, BROCKTON, MA 02301-5940
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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