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1538725759
TAYLOR NICOLE BRIDGES
BROCKTON, MA
NPI
1538725759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-13
Last Update Date
2020-10-07
Business Address
TAYLOR NICOLE BRIDGES
103 COMMERCIAL ST
BROCKTON, MA 02302-3133
Phone number: 508-580-4691
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Mailing Address
TAYLOR NICOLE BRIDGES
113 ERROL RD
BROCKTON, MA 02302-3042
Phone number: 774-223-2318
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