Individual
MR. CHARLES ARTHUR SOLDEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
172 SUMNER ST W, BROCKTON, MA 02301-1046
(508) 427-6519
Mailing address
172 SUMNER ST W, BROCKTON, MA 02301-1046
(508) 427-6519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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