Individual
NUK THANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA LEGAL STUDIES
Contact information
Practice address
102 MAIN ST, GREENFIELD, MA 01301-3275
(413) 774-6252
Mailing address
102 MAIN ST, GREENFIELD, MA 01301-3275
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7760952
DL
AK
Enumeration date
02/07/2020
Last updated
11/27/2023
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