NPI 1033621578

Jamie L Moore

Practitioner Case Manager/Care Coordinator Brockton, MA

Practice location

Address: 103 Commercial St, Brockton, MA 02302-3101
Phone: (617) 935-5404
Mailing address: 176 Linwood St, Brockton, MA 02301-5626

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence S659949987 (MA)

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Registry record

NPI: 1033621578
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2017
Record last updated: 24 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.