Individual
MS. HAYLEY AILEEN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
300 WILE ST STE 2, LA PORTE, IN 46350-5672
(574) 265-4428
Mailing address
300 WILE ST STE 2, LA PORTE, IN 46350-5672
(574) 265-4428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012695A
IN
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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