Individual
CAROLE RYAN HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LPC (PENDING)
Contact information
Practice address
94 HILLSIDE RD, SOUTHWICK, MA 01077-9729
(413) 306-9573
Mailing address
94 HILLSIDE RD, SOUTHWICK, MA 01077-9729
(413) 569-5638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001841
CT
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/07/2009
Last updated
07/03/2009
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