| Kokoro Wellness | |
|
53 Gatsby Dr Apt D Raynham MA 02767-8001 | |
| (508) 223-7801 | |
| Not Available |
| Full Name | Kokoro Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 53 Gatsby Dr Apt D, Raynham, Massachusetts |
| Authorized Official Name and Position | Laurie Jackson (OWNER/PRESIDENT) |
| Authorized Official Contact | 5082237801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kokoro Wellness 53d Gatsby Drive Raynham MA 02780 Ph: (508) 223-7801 | Kokoro Wellness 53 Gatsby Dr Apt D Raynham MA 02767-8001 Ph: (508) 223-7801 |
| NPI Number | 1396147294 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 09/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396147294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 7728 (Massachusetts) | Primary |
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