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1124300173
MICHELLE MACK
BROCKTON, MA
NPI
1124300173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-09-15
Last Update Date
2011-09-15
Business Address
-- MICHELLE MACK
26 SPRING ST
BROCKTON, MA 02301-8402
Phone number: 508-894-8520
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Mailing Address
-- MICHELLE MACK
26 SPRING ST
BROCKTON, MA 02301-8402
Phone number: 508-894-8520
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