MICKENSON ST JOY

BROCKTON, MA
NPI1700275476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-01-17
Last Update Date2015-01-17
Business Address
Mr. MICKENSON ST JOY Associate degree
62 ECHO ST
BROCKTON, MA 02301-6510
Phone number: 862-237-0555
Mailing Address
Mr. MICKENSON ST JOY Associate degree
62 ECHO ST
BROCKTON, MA 02301-6510
Phone number: 862-237-0555
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