Individual
CHANTAL CESAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
186 COPELAND ST, BROCKTON, MA 02301-6961
(857) 544-7263
Mailing address
186 COPELAND ST, BROCKTON, MA 02301-6961
(857) 544-7263
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
230969
MA
163W00000X
Registered Nurse
230969
MA
163WC0400X
Case Management Registered Nurse
Primary
230969
MA
163WG0600X
Gerontology Registered Nurse
230969
MA
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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