Individual
DEBROAH FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 FIELD ST, BROCKTON, MA 02301-2415
(617) 458-9940
Mailing address
21 FIELD ST, BROCKTON, MA 02301-2415
(617) 458-9940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21900
MA
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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