Individual
CARLENS LEBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 W ELM ST APT 505, BROCKTON, MA 02301-4345
(617) 755-5740
Mailing address
47 W ELM ST APT 505, BROCKTON, MA 02301-4345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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