Individual
BREA CAISEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 586-5977
Mailing address
801 PLEASANT ST, BROCKTON, MA 02301-3052
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2029
MA
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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