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Individual

EMILY ANNE CAPASSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 521-2200
Mailing address
53 CLYDE O BOSWORTH RD, HALIFAX, MA 02338-1381
(781) 361-3656

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/30/2019
Last updated
07/30/2019
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