IZAIAH DIMANCHE-SILVA

BROCKTON, MA
NPI1730724931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-11-12
Last Update Date2019-11-12
Business Address
IZAIAH DIMANCHE-SILVA
5 ADDISON ST
BROCKTON, MA 02301-1401
Phone number: 508-631-1466
Mailing Address
IZAIAH DIMANCHE-SILVA
5 ADDISON ST
BROCKTON, MA 02301-1401
Phone number:
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