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Individual

MRS. ELAINE HALLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6350 AIRPORT BLVD STE 4, MOBILE, AL 36608-3132
(251) 554-8108
Mailing address
41001 QUINLEY LN, BAY MINETTE, AL 36507-5602

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-166148

Other

Enumeration date
05/16/2024
Last updated
05/16/2024
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