Individual
CARLENE MCNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 COMMERCIAL ST, BROCKTON, MA 02302-3133
(508) 521-1020
Mailing address
103 COMMERCIAL ST, BROCKTON, MA 02302-3133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
04/29/2019
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