Audrey Elaine Hathaway

NPI #1023834025 in Gaylord, Michigan

Provider Information

NPI Number
1023834025
Entity Type
Individual
Name
Audrey Elaine Hathaway
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Nov 25, 2024
Last Updated
Nov 25, 2024

Practice Location

Address
PO BOX 392
ZIP Code
49734-0392
Phone
(231) 268-0007

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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