JACOB DEAN LANDIS

BROCKTON, MA
NPI1174786081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-07-10
Last Update Date2008-07-11
Business Address
Mr. JACOB DEAN LANDIS MA
37 BELMONT ST
BROCKTON, MA 02301-5299
Phone number: 508-580-4691
Mailing Address
Mr. JACOB DEAN LANDIS MA
37 BELMONT ST
BROCKTON, MA 02301-5299
Phone number: 508-580-4691