Provider Information for 1124446851
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HAYLEY M MAURO ASW
Sex: Female
NPI: 1124446851
Last Updated: 2017-06-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1124446851 | ||||||||||||
| Enumeration Date | 2014-03-31 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 327 S K ST TULARE, CA 93274-5416 United States Phone: 559-688-2043 | Fax:559-688-1304 | ||||||||||||
| Primary Practice Address | 327 S K ST TULARE, CA 93274-5416 United States Phone: 559-688-2043 | Fax:559-688-1304 | ||||||||||||
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