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Individual

ANTHONY WHITE SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC /CADC

Contact information

Practice address
56 CHERRY ST, BROCKTON, MA 02301-2608
(508) 521-1020
(508) 521-1030
Mailing address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
12/21/2013
Last updated
12/21/2013
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