Individual
MRS. HALLIE JO HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 S US HIGHWAY 231, BEAVER DAM, KY 42320-9463
(270) 274-9646
Mailing address
1595 S US HIGHWAY 231, BEAVER DAM, KY 42320-9463
(270) 274-9646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
167246
KY
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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