Individual
MR. JAMES FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
165 QUINCY ST, BROCKTON, MA 02302-2988
(508) 897-2182
Mailing address
165 QUINCY ST, BROCKTON, MA 02302-2988
(508) 897-2182
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
216170
MA
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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