Individual
MR. MARK FRANCIS THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LSW
Contact information
Practice address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 674-5600
(508) 235-5009
Mailing address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 674-5600
(508) 235-5009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3024783
MA
Other
Enumeration date
12/18/2006
Last updated
05/11/2011
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