Individual
HILLARY VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3563 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8453
(260) 569-0335
Mailing address
3563 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8453
(260) 569-0335
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201097990A
—
IN
Enumeration date
08/24/2018
Last updated
08/24/2018
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