Michenide Augustin
Michenide Augustin is an Early Intervention Provider Agency in Brockton, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
1115 W Chestnut StBrockton, MA 02301-7501
Phone: (508) 580-4691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1174960520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 24, 2013 |
| Last updated in NPPES | May 24, 2013 |
| Mailing address | 215 Court St Apt 1, Brockton, MA 02302-4600 |
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