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Individual

MR. ADAM NELS DANIELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
50 LONG POND DR, SOUTH YARMOUTH, MA 02664-4180
(508) 760-1475
Mailing address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/11/2011
Last updated
09/11/2011
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