Individual
MITCH HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 ORCHARD ST, NORTHAMPTON, MA 01060-2325
(612) 599-5651
Mailing address
30 ORCHARD ST, NORTHAMPTON, MA 01060-2325
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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