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1174916035
SUSAN KORMAN
BROCKTON, MA
NPI
1174916035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-16
Last Update Date
2015-03-16
Business Address
-- SUSAN KORMAN
103 COMMERCIAL ST
BROCKTON, MA 02302-3101
Phone number: 508-521-1020
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Mailing Address
-- SUSAN KORMAN
103 COMMERCIAL ST
BROCKTON, MA 02302-3101
Phone number: 508-521-1020
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