Individual
JAMES HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 NE 26TH ST, WILTON MANORS, FL 33305-1239
(954) 390-7654
(954) 567-5625
Mailing address
819 NE 26TH ST, WILTON MANORS, FL 33305-1239
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWO11660L
PA
Other
Enumeration date
01/31/2007
Last updated
07/09/2007
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