Smith, Debra Ethel

Smith, Debra Ethel is an individual health care provider with primary practice located at 180 Centre Street , Brockton MA 02302-2733. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Smith, Debra Ethel can be contacted via phone (508) 586-6300.

Contact Information

Primary practice address
180 Centre Street Brockton MA 02302-2733
Phone: (508) 586-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1831317783
LBN Legal business name Smith, Debra Ethel
Credentials MC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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