Individual
RUTHE ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BMT
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 521-1020
Mailing address
25 SOMERSET PL APT 1, BROCKTON, MA 02301-6048
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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