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Individual

MRS. KATHLYN WATSON HANAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., C.G.C.

Contact information

Practice address
1718 E 4TH ST, SUITE 404, CHARLOTTE, NC 28204-3261
(704) 384-5393
Mailing address
11111 PARK RD, CHARLOTTE, NC 28226-4676
(540) 520-6762

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
14455
NC

Other

Enumeration date
07/20/2010
Last updated
07/20/2010
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