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1043567951
ASIMINA KOUKOS
BROCKTON, MA
NPI
1043567951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-08-09
Last Update Date
2012-08-09
Business Address
Ms. ASIMINA KOUKOS MS
1115 W CHESTNUT ST
BROCKTON, MA 02301-7501
Phone number: 774-279-2159
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Mailing Address
Ms. ASIMINA KOUKOS MS
1115 W CHESTNUT ST
BROCKTON, MA 02301-7501
Phone number: 774-279-2159
Copy
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