Individual
KELLY LEE HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BATTLES ST, BROCKTON, MA 02301-2231
(508) 587-2579
Mailing address
300 BATTLES ST, BROCKTON, MA 02301-2231
(508) 587-2579
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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