MR. Timothy William Corliss, MSW

NPI #1053407429 in Brockton, Massachusetts

Provider Information

NPI Number: 1053407429
Entity Type: Individual
Name: MR. Timothy William Corliss, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Oct 5, 2006
Last Updated: May 22, 2018

Practice Location

Address: 10 MEADOWBROOK RD
City: Brockton
State: Massachusetts
ZIP Code: 02301
Phone: (508) 894-4945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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