Most Relevant Information
Provider Data
| NPI Number: | 1003281411 |
| Provider Name: | CECILIA VICENTE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/10/2015 |
| Last Updated: | 12/10/2015 |
Provider Practice Location
231 MAIN ST
SUITE 300
BROCKTON
MA
023014342
Practice Location Phone/Fax
| Phone: | 5085862660 |
| Fax: | 5084271505 |
Provider Mailing Location
231 MAIN ST
SUITE 300
BROCKTON
MA
023014342
Provider Mailing Phone/Fax
| Phone: | 5085862660 |
| Fax: | 5084271505 |