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Individual

KATHERINE ELIZABETH HARGROVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 310-5883
Mailing address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-227323
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8270712
AL
Enumeration date
09/28/2022
Last updated
09/28/2022
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