Individual
KAITLYN RENEE HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 SPRUCE STREET, NORTH COLLINS, NY 14111
(716) 337-3706
(716) 337-2723
Mailing address
2101 SPRUCE STREET, NORTH COLLINS, NY 14111
(716) 337-3706
(716) 337-2723
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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