Individual
LAURA VALLEJO CASTELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 SAINT ANNES DR, HATTIESBURG, MS 39401-8252
(601) 447-4658
Mailing address
77 SAINT ANNES DR, HATTIESBURG, MS 39401-8252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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