Michelle Mack

NPI #1124300173 in Brockton, Massachusetts

Provider Information

NPI Number: 1124300173
Entity Type: Individual
Name: Michelle Mack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 15, 2011
Last Updated: Sep 15, 2011

Practice Location

Address: 26 SPRING ST
City: Brockton
State: Massachusetts
ZIP Code: 02301-8402
Phone: (508) 894-8520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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