Ezedi Oputa

NPI #1972002194 in Brockton, Massachusetts

Provider Information

NPI Number: 1972002194
Entity Type: Individual
Name: Ezedi Oputa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 2, 2018
Last Updated: Feb 2, 2018

Practice Location

Address: 103 COMMERCIAL ST
City: Brockton
State: Massachusetts
ZIP Code: 02302-3101
Phone: (508) 580-4691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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