Individual
MS. SHALISE HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Mailing address
24 DAKOTA ST, DORCHESTER CENTER, MA 02124-1206
(617) 792-7088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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