NPI 1184095804

Stacey Robinson

Practitioner Contractor Brockton, MA

Practice location

Address: 17 Foster St Unit 13, Brockton, MA 02301-5974
Phone: (561) 516-4404

Registered specialties (2)

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1184095804
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2015
Record last updated: 8 Oct 2015

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.