Individual
ELAINE A WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW ACSW MAC C
Contact information
Practice address
686 N MAIN ST, BROCKTON, MA 02301
(508) 587-0815
(508) 586-9446
Mailing address
686 N MAIN ST, BROCKTON, MA 02301
(508) 587-0815
(508) 580-4526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103949
MA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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