Individual
MIKAYLA GRACE HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 WHITESTICK ST, MABSCOTT, WV 25871
(304) 254-8709
Mailing address
240 LANIER DR, LEXINGTON, NC 27295-1052
(304) 575-3392
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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