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Individual

KAREN ELIZABETH HAYWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
97 N HIGH ST, DERRY, NH 03038-2254
(603) 370-0982
Mailing address
97 N HIGH ST, DERRY, NH 03038-2254
(603) 370-0982

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8DW7-XA9-YC56
NH
Enumeration date
06/21/2019
Last updated
06/21/2019
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