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Individual

MICHELLE D HAYWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED

Contact information

Practice address
1725 OREGON PIKE, SUITE 205B, LANCASTER, PA 17601-4206
(610) 644-6464
(610) 889-0732
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 889-0732

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
01/14/2013
Last updated
01/14/2013
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