Theresa M Smith

NPI 1265862791 - Counselor - 101YM0800X

NPI Details
NPI 1265862791
Enumeration Date 11/19/2013
Last Updated 11/19/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CHERYL A CHERYL
Position ADMINISTRATIVE ASSISTANT
Phone (508) 583-9800
Fax (508) 583-9802
Practice Location
820 PEARL ST
BROCKTON MA, 02301-4411, US
Phone (508) 583-9800
Fax (508) 583-9802
Business Location
820 PEARL ST
BROCKTON MA, 02301-4411, US
Phone (508) 583-9800
Fax (508) 583-9802
Toxanomy
Taxonomy Code 101YM0800X
License State Massachusetts
License Number RN/NP115563
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According to our database, Theresa M Smith NPI is 1265862791, taxonomy code is 101YM0800X and license number is RN/NP115563, license state is located at Massachusetts. Theresa M Smith physically located at 820 Pearl St, Brockton MA, 02301-4411. NPI Number 1033115704 has the healthcare provider type.

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1265862791 NPI number is provided on an as is basis without warranty of any kind. 1265862791 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa M Smith are for informational purposes only.