Individual
BREANNA HAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 W 10TH ST, AUSTIN, TX 78703-3907
(512) 472-4357
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111464
TX
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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