Individual
HALEY HIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 WESTPORT DR, SUITE D2, MANHATTAN, KS 66502-2880
(785) 560-3101
Mailing address
922 TENNESSEE ST, 2, LAWRENCE, KS 66044-2830
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9622
KS
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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