Individual
CATHLEEN MARIE LOUISE HAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2370 SKYWAY DR STE 104, SANTA MARIA, CA 93455-1133
(805) 922-2243
Mailing address
201 W CHAPEL ST, SANTA MARIA, CA 93458-4303
(805) 922-2243
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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