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Individual

HAILEIGH KNOBLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
109 ONEAL CT, ANDALUSIA, AL 36420-3803
(334) 379-1043
Mailing address
18009 JD WHITE RD, ANDALUSIA, AL 36420-6121
(318) 805-2035

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/24/2023
Last updated
01/24/2023
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