Individual
AMANDA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 559-0473
Mailing address
125 REDWING DR, BRIDGEWATER, MA 02324-2219
(508) 631-2062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
09/21/2011
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