Most Relevant Information
Provider Data
| NPI Number: | 1003284977 |
| Provider Name: | HALEY STANSBERRY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/09/2015 |
| Last Updated: | 09/09/2015 |
Provider Practice Location
460 QUINCY AVE
QUINCY
MA
021698130
Practice Location Phone/Fax
| Phone: | 6178471950 |
| Fax: | 6177741490 |
Provider Mailing Location
460 QUINCY AVE
QUINCY
MA
021698130
Provider Mailing Phone/Fax
| Phone: | 6178471950 |
| Fax: | 6177741490 |