Individual
HANNAH MITCHELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCLS
Contact information
Practice address
32 CRESCENT ST, KINGSTON, MA 02364-2255
(508) 747-2012
(508) 747-4898
Mailing address
32 CRESCENT ST, KINGSTON, MA 02364-2255
(508) 747-2012
(508) 747-4898
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1136401
VA
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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