Individual
CARRE FARRON LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 502-7584
Mailing address
63 SUMNER ST W, BROCKTON, MA 02301-1043
(508) 209-7028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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