Individual
MS. JUDITH MARIE DEPASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 LISA DR, BROCKTON, MA 02302-1125
(617) 271-1065
Mailing address
127 LISA DR, BROCKTON, MA 02302-1125
(617) 271-1065
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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