Individual
HANNAH HUNGERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 LAKELAND DR, JACKSON, MS 39216-4829
(601) 939-7990
Mailing address
1703 OLD FANNIN RD APT N2, FLOWOOD, MS 39232-8620
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
728642
MS
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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