Individual
KAYLA HALLISEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98 N FRONT ST, NEW BEDFORD, MA 02740-7327
(774) 265-0022
Mailing address
98 N FRONT ST, NEW BEDFORD, MA 02740-7327
(774) 265-0022
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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