Provider Demographics
NPI:1912272550
Name:JOCELYN, MARIE CARMEN (MM)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:CARMEN
Last Name:JOCELYN
Suffix:
Gender:F
Credentials:MM
Other - Prefix:MS
Other - First Name:MARIE
Other - Middle Name:CARMEN
Other - Last Name:JOCELYN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MM
Mailing Address - Street 1:31 SILVER ROAD
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301
Mailing Address - Country:US
Mailing Address - Phone:774-360-6718
Mailing Address - Fax:
Practice Address - Street 1:31 SILVER RD
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-3239
Practice Address - Country:US
Practice Address - Phone:774-360-6718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker