Individual
MS. LORI B CHICKERING
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
87 CAPTAINS LNDG, RAYNHAM, MA 02767-5162
(508) 345-0871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2013
Last updated
08/11/2015
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