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Individual

MRS. JACQUELINE L HANNIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS ED

Contact information

Practice address
2038 DARLINGTON OAK DR, SEFFNER, FL 33584-5477
(631) 871-8173
(813) 654-6471
Mailing address
2038 DARLINGTON OAK DR, SEFFNER, FL 33584-5744
(631) 871-8173

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
NY
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
09/18/2008
Last updated
10/15/2014
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