Individual
MS. SUSAN EVELYN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1115 W CHESTNUT ST, SOUTH BAY MENTAL HEALTH CENTER, BROCKTON, MA 02301-7501
(150) 855-9047
(150) 842-7536
Mailing address
1115 W CHESTNUT ST, SOUTH BAY MENTAL HEALTH CENTER, BROCKTON, MA 02301-7501
(150) 855-9047
(150) 842-7536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2268656
MA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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