Individual
KENDRA LOIS HALLORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 STEVENS ST, EAST TAUNTON, MA 02718-1000
(774) 360-5137
Mailing address
53 STEVENS ST, EAST TAUNTON, MA 02718-1000
(774) 360-5137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S32713962
MA
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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