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1104186204
LISA MARIE SOUSA
BROCKTON, MA
NPI
1104186204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-05-22
Last Update Date
2012-05-22
Business Address
-- LISA MARIE SOUSA
1115 W CHESTNUT ST
BROCKTON, MA 02301-7501
Phone number: 508-580-4692
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Mailing Address
-- LISA MARIE SOUSA
1115 W CHESTNUT ST
BROCKTON, MA 02301-7501
Phone number: 508-580-4692
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