MICHENIDE AUGUSTIN

BROCKTON, MA
NPI1174960520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2013-05-24
Last Update Date2013-05-24
Business Address
-- MICHENIDE AUGUSTIN
1115 W CHESTNUT ST
BROCKTON, MA 02301-7501
Phone number: 508-580-4691
Mailing Address
-- MICHENIDE AUGUSTIN
215 COURT ST APT 1
BROCKTON, MA 02302-4600
Phone number: 617-682-5550