Individual
MR. ANDREW JOHN BICKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691
Mailing address
201 BAY RD APT 3, NORTH EASTON, MA 02356-2678
(203) 843-7336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
058172751
CT
172V00000X
Community Health Worker
Primary
—
MA
Other
Enumeration date
08/08/2013
Last updated
08/25/2020
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