Individual
MS. ALEXIS TAYLOR LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 559-0473
Mailing address
77 CHERRY ST, TAUNTON, MA 02780-1929
(508) 269-5648
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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