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Individual

KATHERINE SANDRA HANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC, LMHC

Contact information

Practice address
30 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(857) 225-4076
(508) 408-6199
Mailing address
30 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(857) 225-4076
(508) 408-6199

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8236
MA
163W00000X
Registered Nurse
RN2290510
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2290510
MA

Other

Enumeration date
07/16/2008
Last updated
01/22/2020
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