Individual
HAILEY HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 S KERR AVE, WILMINGTON, NC 28403-8425
(910) 782-3499
Mailing address
330 RACINE DR APT 11, WILMINGTON, NC 28403-8717
(908) 783-3582
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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