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Individual

MRS. HILARIE JADE MCMAHON-HARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2626 GLENWOOD AVE STE 160, RALEIGH, NC 27608-1367
(919) 578-5750
Mailing address
3926 N HILLS DR, AYDEN, NC 28513-7140
(252) 646-4736

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7508
NC

Other

Enumeration date
12/29/2016
Last updated
12/29/2016
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