Individual
MARIE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
31 ROCHE BROTHERS WAY, NORTH EASTON, MA 02356-1032
(508) 894-8730
(508) 894-8732
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3395
(508) 941-7000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
217472
MA
104100000X
Social Worker
A4970
OR
104100000X
Social Worker
M4970
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500643886
—
OR
Enumeration date
04/19/2010
Last updated
07/21/2022
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