Individual
BETHANY BARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691
Mailing address
101 BRADFORD AVE, EAST PROVIDENCE, RI 02914-1901
(401) 479-9988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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