Individual
MISS HAILEY KATHLEEN MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
16 BRIDGE GATE, PLYMOUTH, MA 02360-6377
(508) 287-8692
Mailing address
16 BRIDGE GATE, PLYMOUTH, MA 02360-6377
(508) 287-8692
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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