Individual
DAISY LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST STE 101, BROCKTON, MA 02301-7501
(508) 521-2287
Mailing address
PO BOX 2143, MERIDEN, CT 06450-1243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
09/16/2020
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