Individual
MISS KELSIE ELIZABETH BROMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 NEWTON ST, BROCKTON, MA 02301-5115
(508) 446-4133
Mailing address
18 NEWTON ST, BROCKTON, MA 02301-5115
(508) 446-4133
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1821159880
MA
Other
Enumeration date
05/05/2014
Last updated
05/12/2014
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