EDWARD JUSTIN MODESTINO

BROCKTON, MA
NPI1467064972
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-08-18
Last Update Date2020-08-18
Business Address
Dr. EDWARD JUSTIN MODESTINO Ph.D.
231 MAIN ST STE 300
BROCKTON, MA 02301-4342
Phone number: 508-586-2660
Mailing Address
Dr. EDWARD JUSTIN MODESTINO Ph.D.
231 MAIN ST STE 300
BROCKTON, MA 02301-4342
Phone number: 508-586-2660