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Taylor Marston

Community Health Worker in Brockton, MA. Individual provider (NPI-1).

NPI number1154929263
StatusActive
Last updated in NPPESOct 12, 2020

Details

NPI
1154929263
Entity type
Individual (NPI-1)
Name
Taylor Marston
Sex
Female
Sole proprietor
No
Enumeration date
Oct 12, 2020
Certification date
Oct 10, 2020
Last updated
Oct 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

56 Cherry St # 3
Brockton, MA 02301-2608

Phone 508-580-0801

Mailing address

29 Chestnut St
Whitman, MA 02382-1301

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