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1548441587
SYLVESTER PEREIRA FORTES
BROCKTON, MA
NPI
1548441587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 703)
Enumeration Date
2007-11-19
Last Update Date
2007-11-19
Business Address
Mr. SYLVESTER PEREIRA FORTES MSW
20 HOPE ST
BROCKTON, MA 02302-3415
Phone number: 508-587-8105
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Mailing Address
Mr. SYLVESTER PEREIRA FORTES MSW
20 HOPE ST
BROCKTON, MA 02302-3415
Phone number: 508-587-8105
Copy
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