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Individual

ALYSSA JORDAN DESORCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
170 PLEASANT ST, FALL RIVER, MA 02721-3015
(508) 493-2107
Mailing address
22 FIELDING ST, NEW BEDFORD, MA 02745-5643
(508) 642-2423

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/14/2017
Last updated
07/14/2017
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