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Individual

AMANDA HAUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8369 MONTGOMERY RUN RD APT A, ELLICOTT CITY, MD 21043-7363
(240) 565-7518
Mailing address
3425 JAY DR, ELLICOTT CITY, MD 21042-3635

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/27/2025
Last updated
05/27/2025
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