BRIAN P CROCKETT

TAUNTON, MA
NPI1376848309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA  2363)
Enumeration Date2011-01-24
Last Update Date2011-01-24
Business Address
Mr. BRIAN P CROCKETT LADC I
66 MAIN ST
TAUNTON, MA 02780-2777
Phone number: 508-880-1598
Mailing Address
Mr. BRIAN P CROCKETT LADC I
66 MAIN ST
TAUNTON, MA 02780-2777
Phone number: 508-880-1598
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