Individual
SALLI M HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568-5601
(508) 693-2003
Mailing address
122 COVE RD # 11, VINEYARD HAVEN, MA 02568-6516
(774) 563-8097
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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