TRISTAN LEIBU

BROCKTON, MA
NPI1285986307
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-10-12
Last Update Date2012-10-12
Business Address
-- TRISTAN LEIBU
1115 W CHESTNUT ST
BROCKTON, MA 02301-7501
Phone number: 508-580-4691
Mailing Address
-- TRISTAN LEIBU
1115 W CHESTNUT ST
BROCKTON, MA 02301-7501
Phone number: 508-580-4691
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