Individual
MISS ALYSSA STACY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
56 CHERRY ST, 3RD FLOOR, BROCKTON, MA 02301-2608
(508) 521-1020
Mailing address
56 CHERRY ST, 3RD FLOOR, BROCKTON, MA 02301-2608
(508) 521-1020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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