Individual
MS. EMILY WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 559-0473
Mailing address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MA
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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