Anacleto Tavares, BS

NPI #1104419530 in Brockton, Massachusetts

Provider Information

NPI Number: 1104419530
Entity Type: Individual
Name: Anacleto Tavares, BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: BS
Enumeration Date: Feb 17, 2021
Last Updated: Feb 17, 2021

Practice Location

Address: 300 BATTLES ST
City: Brockton
State: Massachusetts
ZIP Code: 02301-2231
Phone: (774) 297-0492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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