Individual
LAURA ANN HAELSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 18TH AVE APT 2E, BROOKLYN, NY 11218-6148
(360) 271-2501
Mailing address
3801 18TH AVE APT 2E, BROOKLYN, NY 11218-6148
(360) 271-2501
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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