Individual
VATURIA S CENATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 586-6300
(508) 584-6466
Mailing address
180 CENTRE ST, BROCKTON, MA 02302-2733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MA
Other
Enumeration date
04/29/2022
Last updated
05/02/2022
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