Individual
KEELY CLARK-MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
335 HILLBERG AVE, BROCKTON, MA 02301-6364
(617) 820-6848
Mailing address
335 HILLBERG AVE, BROCKTON, MA 02301-6364
(617) 820-6848
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2258668
MA
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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