Individual
MS. JOY VALERIE-SUZAN WANGNOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED.
Contact information
Practice address
37 BELMONT ST, BROCKTON, MA 02301-5299
(508) 580-4691
Mailing address
PO BOX 64, BROCKTON, MA 02303-0064
(850) 902-0016
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
103TH0100X
MA
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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