Annetta Jean Hayward

NPI #1295928414 in South Lake Tahoe, California

Provider Information

NPI Number: 1295928414
Entity Type: Individual
Name: Annetta Jean Hayward
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 21, 2007
Last Updated: Aug 21, 2007

Practice Location

Address: 1021 FREMONT AVE
City: South Lake Tahoe
State: California
ZIP Code: 96150-8136
Phone: (530) 541-2445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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