Individual
MS. HANNAH CORRINA WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2708 NE 14TH STREET, SUITE 5 BUTTERFLY EFFECTS, POMPANO BEACH, FL 33064
(888) 880-9270
Mailing address
228 EAST HENRY STREET APT. A, SAVANNAH, GA 31401
(717) 413-9918
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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