Individual
HAYLEY BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20410 OBSERVATION DR STE 108, GERMANTOWN, MD 20876-6419
(240) 296-5862
Mailing address
20410 OBSERVATION DR STE 108, GERMANTOWN, MD 20876-6419
(240) 296-5862
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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