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1104313949
MICHELLE K. HENNESSY
BROCKTON, MA
NPI
1104313949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2018-04-17
Last Update Date
2020-02-03
Business Address
MICHELLE K. HENNESSY
103 COMMERCIAL ST STE 2
BROCKTON, MA 02302-3133
Phone number: 508-580-4691
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Mailing Address
MICHELLE K. HENNESSY
26 MIDDLESEX CIR APT 12
WALTHAM, MA 02452-6243
Phone number: 650-678-5376
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