Individual
MRS. HALEY ANN SCOVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPED
Contact information
Practice address
304 WELLINGTON PL, JACKSONVILLE, NC 28546-8341
(910) 333-8050
Mailing address
304 WELLINGTON PL, JACKSONVILLE, NC 28546-8341
(910) 333-8050
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-351159
NC
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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