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Individual

THERESA EVE HAWLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
240 PARKLAWN BLVD, COLUMBUS, OH 43213-1323
(937) 707-8597
Mailing address
240 PARKLAWN BLVD, COLUMBUS, OH 43213-1323
(937) 707-8597

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
253Z00000X
In Home Supportive Care Agency
Primary
374U00000X
Home Health Aide
376J00000X
Homemaker
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
06/04/2024
Last updated
06/05/2024
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