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1396952149
EFRAIN BAEZ
BROCKTON, MA
NPI
1396952149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 662)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- EFRAIN BAEZ L.A.D.C II
142 CRESCENT ST
BROCKTON, MA 02302-3104
Phone number: 508-941-0005
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Mailing Address
-- EFRAIN BAEZ L.A.D.C II
142 CRESCENT ST
BROCKTON, MA 02302-3104
Phone number: 508-941-0005
Copy
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