Individual
HALLE NICOLE RAWLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 N 19TH AVE, HATTIESBURG, MS 39401-4825
(601) 502-4538
Mailing address
409 N 19TH AVE, HATTIESBURG, MS 39401-4825
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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