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1932860319
FIDEL TAVARES
BROCKTON, MA
NPI
1932860319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-01-06
Last Update Date
2022-01-06
Business Address
FIDEL TAVARES
231 MAIN ST FL 3
BROCKTON, MA 02301-4342
Phone number: 508-586-2660
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Mailing Address
FIDEL TAVARES
5 LAKESHORE CTR UNIT 1238
BRIDGEWATER, MA 02324-1083
Phone number: 617-708-4158
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