Individual
KATHLEEN ANNE FLANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 586-6300
Mailing address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 586-6300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/15/2019
Last updated
07/06/2020
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