Individual
JAMES S LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOE COUNSELING
Contact information
Practice address
37 BELMONT ST, SOUTH BAY MENTAL HEALTH, BROCKTON, MA 02301
(508) 580-4691
(508) 588-5751
Mailing address
118 OAK LN, BROCKTON, MA 02301
(508) 586-7138
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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