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Individual

MICHAEL HAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
Mailing address
513 BURLINGTON AVE, TWIN LAKES, WI 53181-9798

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/28/2021
Last updated
05/28/2021
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