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1548699010
TRAVIS MERRITT
BROCKTON, MA
NPI
1548699010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-11-05
Last Update Date
2013-11-05
Business Address
Mr. TRAVIS MERRITT
20 MEADOWBROOK RD
BROCKTON, MA 02301-7122
Phone number: 508-638-6000
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Mailing Address
Mr. TRAVIS MERRITT
20 MEADOWBROOK RD
BROCKTON, MA 02301-7122
Phone number:
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