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1043858129
BONITA CARRASQUILLO
BROCKTON, MA
NPI
1043858129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-12-19
Last Update Date
2019-12-19
Business Address
BONITA CARRASQUILLO
10 MEADOWBROOK RD
BROCKTON, MA 02301-7122
Phone number: 774-213-8448
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Mailing Address
BONITA CARRASQUILLO
72 KILBURN ST
NEW BEDFORD, MA 02740-7321
Phone number:
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