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Individual

HANNAH HALEUDETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
6 ERICK RD APT 63, MANSFIELD, MA 02048-3078
(774) 254-7638
Mailing address
6 ERICK RD APT 63, MANSFIELD, MA 02048-3078
(774) 254-7638

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
235Z00000X
Speech-Language Pathologist
Primary
77951-SP-SL
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110026265E
MA
Enumeration date
07/19/2016
Last updated
06/24/2025
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