Individual
MR. SHAVAR CORNELIUS HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 E MERRIMACK ST, LOWELL, MA 01852-1251
(978) 453-6800
(978) 458-1428
Mailing address
865 MONTGOMERY ST, MANCHESTER, NH 03102-2723
(603) 370-7646
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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