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1386894137
DEIRDRE ELAINE WISE-BROWN
BROCKTON, MA
NPI
1386894137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-29
Last Update Date
2008-09-29
Business Address
-- DEIRDRE ELAINE WISE-BROWN M.S.
180 CENTRE ST
BROCKTON, MA 02302-2733
Phone number: 508-586-6300
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Mailing Address
-- DEIRDRE ELAINE WISE-BROWN M.S.
995 HYDE PARK AVE APT # 1
HYDE PARK, MA 02136-3161
Phone number: 617-331-4169
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