Individual
KAMAH DUWANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 521-2287
Mailing address
18 WESTLAND ST, BROCKTON, MA 02301-1763
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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